What does a dental prosthodontist do? What does an orthopedic dentist do and what does he treat?

Orthopedic dentistry belongs to the section of general dentistry and is an independent subsection of general orthopedics. This area of dentistry provides prevention and treatment of acquired and congenital defects, deformations and damage to the organs of the dental jaw system.

For this, myotherapeutic, mechanotherapeutic, instrumental-surgical and instrumental methods of treatment are used.

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The main direction of orthopedic dentistry is prosthetics. It sets itself the task of not only correcting a defective row of teeth, but also preventing further destruction of the organ or the return of the disease.

The prosthesis in this system is considered as a medical device, the optimal use of which is determined by preventive and curative tasks. To determine the method of influencing the problem by a dental orthopedist, the following is required:

To study the state and functional features of the chewing apparatus.
Conduct general and special examinations of the patient, perform diagnostics.
Evaluate the identified signs of the disease.
Apply knowledge of materials science and laboratory technology to the manufacture of prostheses and other orthopedic devices.
Dental prosthetics is considered a section practicing prevention, diagnosis and elimination dentition defects. The maxillofacial section of orthopedics deals with the clinic, diagnostics and issues of prosthetics, correction of jaw deformities that have manifested themselves in cases of injuries, operations and illnesses.
Orthopedics deals with study and treatment persistent abnormal changes in the dentition and other components of the jaw.
Prosthetics in its activities is based on the principles of preventing the further development of deformities. This gave a new direction in the study of the mechanisms of development of defects, which allowed prosthetics to increase the effectiveness of the measures taken.
Diseases in the oral cavity and the destruction of the dentition are associated with the state of the whole organism as a whole, as the processes in the teeth, gums and jaw are directly related with the action of internal factors. As well as pathologies in the oral cavity lead to disruption of the internal organs.
Orthopedic dentistry includes a branch of orthodontics that deals with correction of deformed organs or anomalies in the composition of the dentoalveolar system. IN modern medicine orthodontics has grown into an independent direction, and occupies a separate place in dentistry, dealing with bite correction.

Tasks and functions of an orthopedic dentist

The orthopedist must know perfectly the biomechanical processes in the dental jaw system. The specialist must have:

specific knowledge of chemistry, physics, physiology and anatomy related to his field of work;
be familiar with the laws of articulation, which include laughter, singing and the ability to talk;
master the skills of prosthetics.

The main functional responsibilities of an orthopedic dentist are restoration, implantation (prosthetics) teeth, and in some cases the use of a crown. In today's conditions, implantation occupies a leading position in prosthetics.

To restore teeth, the following types of prosthetics are used:

Removable method.
Removable way.
Conditionally removable reception.

Fixed crowns, bridges, pins and inlays are in demand due to their reliability and durability. Fast and easy way removable dentures is common because of the reasonable price for the bulk of the people.

Conditionally removable Prosthesis options are used when it is necessary to replace one or more teeth. Such a tooth can be easily removed by an orthopedic dentist, but the patient will not be able to get rid of it on his own.

Indications for visiting an orthopedic dentist

For every person there comes a period when he may need an orthopedic dentist. Who is this doctor and what does this doctor treat? This mainly concerns the issues of prosthetics.

Patient destroyed tooth due to physical injury or advanced caries.

In this case, the appearance deteriorates, the smile is broken, food is chewed incorrectly, which can cause an exacerbation of internal diseases.

From this point of view, the opinion of experts is valuable that it is necessary to restore even the back teeth, which are not visible, but chewing takes place with their help.

If it starts destruction of tooth enamel and tooth, then use crowns designed to limit the area of destruction. Crowns can be worn not only on a whole tooth, but also treated incisors or molars are protected from further damage. The doctor during the examination sees that the fragility of the itch can cause it to break, therefore, this must be prevented.

With the help of special decorative crowns - veneers, an orthopedic dentist can correct the unsightly appearance of the front or other teeth and make a Hollywood smile. In addition, with the help of such crowns - veneers hiding chips, cracks, scratches, uneven coloring or even curvature.

Actions of an orthopedic dentist at the first appointment

An orthopedic dentist is not only a doctor who performs prosthetics, but also conducts lengthy preparatory work, because the responsibility for the final result falls on his shoulders, so his actions when receiving a patient are as follows:

Monitoring the condition of the teeth and general recommendations for the prosthetic procedure.
Carrying out a preparatory complex of events.
Determination of the method of installation of the prosthesis and its design.
Installing the prosthesis in the desired position.

Before visiting the orthopedist, the patient should contact the dentist's office in order to to make an X-ray and identify a diseased tooth that should be treated before prosthetics.

The main types of dentures

To restore the dentition, many types of prostheses are used, each of which is appropriate in the indicated case.

Inlays and overlays. Such devices, in terms of their functionality and method of installation, can equally be attributed to fillings or prostheses. The material for the products is ceramics, as the main requirement is strength. They are a necessary filling of the dilated canals of the tooth after the treatment of caries and other diseases of the dentin.

They are used for restoration of tooth functionality and visual improvements. Onlays differ from fillings in that they improve the external decorative qualities, while they repeat the shape of the tooth, and the shade can be matched to match the existing color.

Patients do not experience discomfort no complications were found. Allergic manifestations do not occur, since ceramics are materials of natural origin.

Ceramic inlays and onlays are firmly attached to the tooth with a special compound and they are not afraid of even toffee candies. The service life of such dental products is determined at 5–6 years old, but in practice it has been found that ceramic inlays and onlays last much longer.

Veneers

Veneers are more often used when repairing chips, as the solution seems to be the most aesthetic and practical.

Fastening occurs by means of cement, before that the tooth body itself is grinded to the desired size so that the thickness of the crown does not interfere with the person wearing it. If the patient does not want to wear braces to correct the curvature of the teeth, then use veneer crowns.

Serve veneers about 10 years, and all this time they do not lose their beautiful appearance, the material does not react to dyes and food colorings, but if you open metal caps from bottles with your teeth, you can get chips on the veneers themselves, so it is recommended to even get rid of the habit of biting nails.

The negative thing about prosthetics with veneers is that after the end of operation, the crown is removed and put the following of this particular type, since it is problematic to put other types of crowns. Grinding before installation harms the enamel, and it is not recommended to leave the tooth ground off without coating.

Lumineers

They differ from previous crowns - veneers in that their thickness is only 0.3 mm. Such prostheses-crowns are installed for those who cannot put veneers and at the same time do not have to grind off a layer of enamel on the tooth, only a slight decrease in thickness is applied.

But the small thickness of lumineers is also a disadvantage. Because of this, the strength of the crowns themselves suffers, they do not withstand such a long operation. Thin products cannot hide the curvature of the tooth and lumineers are not used to correct such a defect.

Crowns

Many patients are so afraid of going to the dentist that as a result the teeth are destroyed to such an extent that only going to the orthopedic dentist will help.

Crowns are the most common type of prostheses and are peculiar cap, which with its external shape repeats the tooth.

The material for making crowns is metal, ceramics and high-quality plastic, depends on the durability and cost of the product:

Ceramic crowns are among the most expensive products, they are durable and perfectly follow the shape of the tooth. Another feature is that the material itself is slightly transparent, making it indistinguishable from natural tooth material in the mouth.
Metal-ceramic crowns receive additional strength due to the use of a titanium metal framework. Their price is slightly less, so they are ordered more often. The translucency of ceramics is not an advantage in this case, since a metal ring peeps through it and slightly spoils the appearance. If the client wants to make invisible metal-ceramic crowns, then a white metal called zirconium oxide is used. This option will cost the patient more than purely ceramic products.
Metal crowns clearly visible in the mouth, they are made white or yellow, depending on the alloy. Such products have been at the peak of popularity in recent years, but due to the fact that recently the aesthetic side of the issue has come to the fore, other types are used, since they cannot boast of a beautiful appearance.
Plastic crowns are most commonly used to temporarily cover a tooth for whitening or other treatments. They are placed at the time of preparation of another crown, so that the hewn tooth does not cause discomfort to its owner.
Metal-plastic crowns are classified as budget options. They are a more durable prosthesis, but during operation they lose their external qualities, since the plastic quickly absorbs food dyes and loses its shape due to the low strength of the material.

Dentures

If you need to restore a lot of teeth, dentures are used for several teeth at once.

Bridge form of the prosthesis It is used if you need to restore several teeth, and choosing crowns for each of them will be expensive. If there are no teeth on which the bridge can rest, then artificial implants are placed, and the bridge is already supported on them.

If the side teeth are suitable as a base and require minor repairs, then a crown is put on them, to which a bridge-like structure is attached, replacing several missing teeth at once.

Lamellar prostheses are a removable structure and are common in modern dentistry. Their use is indicated for complete edentulism (absence of teeth), or when other types of prosthetics are not available due to cost or other reasons.

For fastening, a design with a plate covering the palate or only the alveolar process is provided. For fastening strength, a special glue is used. There are complete dentures (the entire row of upper or lower teeth) and partial.

Another type of dentures called clasp. They differ from the previous type in that they are equipped with a whole series of fasteners containing clasps and locks of a special design that are attached to healthy supporting incisors or other teeth. Sometimes the metal parts of the locks can be hidden, but in some cases they can be seen, which spoils the appearance.

To install any of the types of prostheses or crowns, you should visit an orthopedic dentist, the doctor, from a professional point of view, will tell you all the features of the prostheses and determine the possibility of their installation in a particular case.

Dentist orthopedic dentist: who is it, what does it treat, what is orthopedic dentistry?

Which doctor puts crowns on the teeth and in what situations should the patient contact him? There are several profiles of doctors in dentistry. There are four main specializations: orthodontist, internist, surgeon and orthopedist.

The latter is engaged in the installation of crowns and prostheses.

What is prosthetic dentistry?

Orthopedic dentistry is a branch of medicine that is aimed at eliminating problems with the chewing apparatus and specializes in the installation of prostheses for the reconstruction of the dentition. Orthopedic dentistry also performs a number of other tasks:

diagnostics, treatment and prevention of defects of the speech apparatus;
treatment of jaw diseases using various orthopedic devices;
restoration of swallowing function;
maintaining an attractive appearance restored teeth.

The forces of doctors in this branch of dentistry are aimed at eliminating any defects in the teeth that impair the quality of life of patients. They restore the efficiency and aesthetics of the dental system.

What does an orthopedist do?

An orthopedic dentist is often called a prosthetist, because the installation of structures is his main activity. Who applies to a doctor of this specialty? His help is needed for patients with such problems:

complete or partial destruction of the tooth with the preservation of healthy roots;
the absence of one, several units or complete adentia;
mobility, sensitivity of teeth;
periodontal disease;
periodontitis;
aesthetic defects of the teeth (the patient is not satisfied with the shape or size);
change in the shade of the restored unit or failure of the installed prosthesis;
pathology of the temporomandibular joint;
problems with grinding food when chewing.

The activity of an orthopedist is aimed at restoring a natural tooth or replacing it with an artificial one, i.e. this is a specialist who inserts inlays, crowns, bridges or onlays that will be as aesthetic and comfortable as possible. Dentures or implants should not affect the comfort of chewing food or sound pronunciation.

A patient can be referred to an orthopedist by a doctor of another specialization - a general practitioner or surgeon.

The duties of the therapist include only dental treatment - if the unit is already destroyed, then he will not be able to help and will recommend contacting a prosthetist to restore its functionality.

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The surgeon also issues a similar direction after removing a tooth that cannot be saved. By the way, orthopedists often combine their activities with surgical practice, since the installation of some prostheses requires surgical intervention.

Many people confuse the names "orthopedist" and "orthodontist", although they are different specializations. What is orthodontics in dentistry? Dentists-orthodontists correct bite defects, i.e., with the help of special devices (braces, caps, retainers), they align teeth that are not aligned correctly.

Methods of orthopedic dentistry

The choice of the type of prosthetics depends on the condition of the teeth, their number, location, financial capabilities of the patient and other factors. The doctor uses various materials to restore destroyed or lost units. If it is required to manufacture structures in a dental laboratory, the patient is fitted with temporary prostheses while waiting.

Microprosthetics of teeth

Microprosthetics is a technique for restoring a damaged tooth that has preserved roots. There are two types of recovery: using overlays and tabs. There are two types of dental pads:

Veneers. Thin plates (thickness 0.5-0.7 mm) that can hide defects in the front teeth: diastema, chips, cracks. Overlays completely repeat the shape of the incisors and can last up to 10 years. Products are made of composite materials or ceramics, they are strong enough and make a smile natural, but before installation they require grinding of the enamel layer.
Lumineers. Overlays that are placed to correct small defects in incisors and canines while maintaining enamel. They differ from veneers in thickness (0.2-0.3 mm), are less durable, but can last up to 20 years with careful handling and make a snow-white smile.

The tab is a device that is both a filling and a prosthesis. The specialist treats the tooth, and in place of the missing part inserts a miniature structure that protects root canals and restore the functionality of the tooth.

The difference between an inlay and a filling is that the inlay replicates the shape and color of a natural dentition unit. When installing inlays, patients almost never experience complications, moreover, such a product can be used for restoration in cases where it is not advisable to install a filling.

Installation of removable dentures

The manufacture of removable structures is one of the inexpensive methods of prosthetics. Turning units and casts is done by an orthopedist, and products are created in the laboratory. There are several types of structures: butterflies, clasp, lamellar. The differences between these types of products are in price and installation method.

After the surgeon pulls out a few teeth, he refers the patient to an orthopedist for the fabrication of artificial units. Prostheses are made according to individual casts the patient's jaw using polyurethane, nylon or acrylic. They are placed in such cases:

the absence of several units in a row on one or both jaws;
complete edentulous;
early loss of milk teeth in children with a risk of curvature of the permanent row.

Designs consist of a base, which is made taking into account the relief of the gums, and artificial crowns. With adentia, they are held in the mouth with special creams, and partial models are fixed with locks on the abutment teeth.

Permanent prosthetics

This technique allows you to restore the dentition by replacing 2-4 missing units in a row or individual teeth. Fixed dentures are durable, attractive and affordable for most people.

You need to start treating your teeth with a visit to a therapist or periodontist who specializes in relieving inflammation of the mucous membrane, removing caries and stone.

After that, the orthopedist will examine oral cavity and offer one of the restoration options:

crowns - structures installed on single molars, premolars or frontal units;
bridges are products mounted in the absence of several units in a row;
prostheses mounted on implants - titanium pins that are implanted in bone tissue.

Profession dentist - doctors and their specialization

The profession of a dentist has been quite relevant for a long time. If you have problems with your teeth and maxillofacial area, a person should turn to just such a specialist. The dentist will help in the elimination of diseased teeth, in their restoration and therapy, correction of bite, etc.

How dentists appeared: the history of the profession

The path of development of dentistry to modern dentistry began with dental care, which was provided by bath attendants, artisans, barbers, etc.

At the end of the 17th and at the beginning of the 18th century, dentistry approached the formation of the specialty itself.

Over time, this area of medicine developed, and the profession of a dentist was approved with the development of filling teeth with silver amalgam, prosthetics with artificial gold crowns, and the use of arsenic acid to necrotize the pulp.

In 1810, a decision was made to provide practice to persons who received a diploma as a “dental doctor”. In 1838, the title "dentist" appeared, as well as the right to independent work after passing the required examinations at the medical academy.

After 1900, a decision was made to impose a ban on the training of dentists through apprenticeship. After that, various dental institutes and dental faculties began to open.

Nowadays, a dentist is sometimes called a dentist, but this concept includes a dental technician rather than a dentist or paramedic.

Description of the profession dentist: job responsibilities and personal qualities

An important quality that every dentist should possess is sociability and sociability. Most people are afraid to go to the dentist's office and feel stressed at the same time, the doctor's goal in this case is to calm them down, for which it is necessary to choose the right words. So you can't do without the skills of a psychologist.

With all the advantages of the prestige of the specialty, it is necessary to understand that the work of a dentist is not suitable for everyone. Since a person who chooses this profession for himself must have a number of qualities, of which the following can be noted:

good coordination of movements;
developed fine motor skills of the hands;
calm character;
excellent memory;
attentiveness;
patience;
sharp eyesight.

The dentist must do his job with care so as not to make mistakes that could cause pain to the patient and deprive him of a tooth.

The duties of a dentist directly depend on his specialization, which are divided into:

Dentist-therapist. People with this specialization are engaged in examining diseased teeth, prescribing and performing the necessary treatment.
Dentist-surgeon. A specialist in this field is engaged in the elimination of defects through surgical intervention.
Dentist-orthopedist. The main work of this specialist is in implantation and prosthetics, including defects in the dentition that have arisen due to age-related changes.
Dentist-orthodontist. Doctors of this specialization deal with the elimination of malocclusion.
Children's dentist. Specialists do the same as dentists-therapists, but work exclusively with children.

Specializations

Modern dentistry has several specializations.

Therapist

Doctors with this specialization are engaged in the initial examination of the teeth and decide on the possible extraction of the tooth using special equipment, caries treatment, infectious diseases oral cavity and inflammation of the gums.

It is customary for them to encounter various bacterial and fungal processes in the oral cavity.

The dental therapist also has sufficient knowledge to diagnose the stage of the disease and provide the necessary therapy for each individual case.

Orthopedist

This specialist eliminates all kinds of jaw defects and violations of the teeth growth line due to an injury.

Surgeon

The main activity of this specialization is surgical intervention for the extraction of diseased teeth, as well as the installation of implants.

The activity of the surgeon is associated with the need to open the face, neck and oral cavity for treatment manipulations.

The specialist deals with the treatment of various inflammatory processes and neoplasms in the oral cavity, as well as small tumors.

His responsibilities include: diagnosis and surgical treatment serious illnesses areas of the face, oral cavity and neck, reconstruction of the jaw and plastic surgery, surgical intervention on the surfaces of the periodontium, removal of diseased teeth.

Maxillofacial Surgeon

Specialists in this field are engaged in complex surgical operations under general anesthesia. The interventions themselves are more complex to perform than those of a dental surgeon.

Children's doctor

A specialist in this field treats exclusively children. His duties include everything that needs to be done by a dentist-therapist. The main difficulty in treatment is that children are reluctant to treat their teeth, so a specialist needs to understand psychology.

Orthodontist

A specialist in this field works with dentoalveolar anomalies that have arisen due to age-related changes, hereditary predisposition, periodontal disease or tooth loss.

Pros and cons of the specialty

The profession of a dentist in our time is quite in demand and highly paid, which can be attributed to the main advantages.

People regularly visit the dentist's office in order to treat diseased teeth, prosthetics for missing row units, make the front of the jaw more attractive, which is noticeable when talking or smiling, and so on.

So the advantages of the profession include prestige and respect in society.

With the acquisition of experience, specialists achieve higher qualifications and determine for themselves a more profitable place of work with the opportunity to choose a convenient schedule and decent wages. You can work every day or once a week, which will allow you to live no worse than the average citizen of the country.

The main disadvantage of this specialization is long training. For professional development, it is not enough to get a university diploma, but you need to constantly improve your skills and expand your knowledge, comprehending new things and mastering modern technologies.

Where can I unlearn to be a dentist and what is needed for this

You can learn a profession in medical universities in one of the specialties:

Therapeutic dentistry.
Surgical dentistry.
Dentistry of children's age.
General practice dentistry.
Orthopedic dentistry.
Orthodontics.

If you have a higher medical education, you can take postgraduate training in the required specialty.

In Russia, the most famous universities, where there is a department of dentistry, are:

Moscow State University of Medicine and Dentistry named after A.I. Evdokimov.
First Medical University named after I.M. Sechenov.

The term of study is in general 8 years (5 years at the institute, 1 year internship and 2 years residency). The subjects required for passing are: chemistry, Russian language and biology.

In a dental college, you can consider becoming a dental assistant and a nurse. For doctors who want to improve their skills, there are separate courses.

For admission to the dental college, there is no need to pass exams, for this it is enough to bring a school leaving certificate and pass the test.

Average salaries and prospects

The salaries of dentists are quite large and the profession gives the prospect of obtaining the position of chief physician, which will allow you to become the owner of your own clinic or private school of dentistry.

In Russia, on average, you can receive a salary of 40,000 to 200,000 rubles a month, depending on experience, city and place of work.

The profession of a dentist is not suitable for everyone, but with such a specialty, a person gets great prospects for good earnings and an extensive choice of employment. It will take a lot of time to learn, but it is worth it to help people in the treatment of diseases of the maxillofacial zone as a result.

Orthopedic dentist: what does this doctor treat and do

An orthopedic dentist deals with prosthetics and restoration of teeth.

These concepts are different, because. you can restore teeth with normal roots, and if the roots are broken, then their prosthetics are already used.

In addition to restoring the appearance of a smile and restoring small flaws in the teeth, the specialist also restores all the functions of the teeth.

Specialization of the dental orthopedist - removable, non-removable and conditionally removable methods of restoring teeth.

He also takes casts for the future production by a dental technician of all the required structures - crowns, stump inlays, etc.

Recently, children have been frequent visitors to this doctor's office.

At the first visit to the orthopedic dentist, it is determined whether the patient has disorders of the masticatory apparatus, and to what extent.

When the diagnosis is made, a treatment plan is prepared, which typically includes:

Preparation of the mouth for restoration or prosthetics.
A set of orthopedic measures.
Choice of method of prosthetics or restoration and type of prosthesis.
Installation of a prosthesis if necessary.

Before starting treatment, an orthopedic dentist performs all the necessary examinations and preparation of the patient - an orthopantogram, computed tomography, wax modeling and other special studies.

All responsibility for the selection and production of the necessary prosthesis in this case also falls on the orthopedic dentist.

An orthopedic dentist is a doctor with a complete higher medical education and specialization in orthopedic dentistry.

The specialist is required to master the methods of prosthetics, for which the dentist undergoes special training, which includes training in knowledge of the biomechanics of the jaw system.

Job description

The job description defines the duties, rights and responsibilities of a dentist - orthopedist.
A person with a higher medical education who has completed postgraduate training or specialization in Orthopedic Dentistry is appointed to the position of a dentist - orthopedist.
A dentist-orthopedist must know the basics of the Russian Federation legislation on health care; medical ethics and deontology; rules for providing emergency medical care; bases of examination of temporary disability; the basics of sanitary knowledge; internal labor regulations; labor protection rules and regulations.
According to his specialty, the doctor should know latest methods prevention, diagnosis, treatment and rehabilitation; content of orthopedic dentistry as a separate discipline; tasks, principles of dental orthopedic service; legal and methodological documents in the specialty; documentation rules.
An orthopedic dentist is appointed to the position and dismissed by the order of the chief physician in accordance with the current legislation of the Russian Federation.
The dentist-orthopedist reports to the head of the department, and in his absence to the head of the institution or his deputy.

In this video, you will learn who an orthopedic dentist is, what he treats and what this doctor does. Enjoy watching!

Job Responsibilities

Provides professional assistance in his specialty, using methods that are acceptable for use in medical practice.

Determines the tactics of managing the patient in accordance with the rules and standards. creates a plan for examining the patient.

Based on clinical observations and examination, makes or confirms the diagnosis.

In accordance with the standards, he prescribes and controls treatment, organizes or implements the necessary procedures and activities.

Provides assistance through consultations with doctors from other departments of the institution in his field.

Manages the work of accountable medical workers assists in the performance of their duties.
Participates in training sessions to improve the skills of medical workers.
Plans its activities and analyzes its performance.
Creates conditions for the preparation of medical and other documentation in accordance with the current rules.
Executes the orders of the management of the institution in a qualified and timely manner.

Adheres to the rules of internal regulations, fire safety, safety, sanitary and epidemiological regime.

Regularly improves his skills.

The rights

The doctor has the right:

Independently make a diagnosis in your field based on observations and examinations; determine the tactics of patient management, prescribe examination methods; carry out treatment; involve doctors of other specialties if necessary.
To offer the administration of the institution ways to improve the treatment and diagnostic process.
Monitor the work of subordinate employees, give them orders within the framework of their duties in the service and demand their implementation.
Receive and use materials and legal documents necessary for the performance of duties;
Participate in scientific and practical conferences and meetings where issues related to his work are discussed.
Be certified and receive the appropriate professional category.
Improve your professionalism in advanced training courses at least once every 5 years.

The doctor enjoys all labor rights in accordance with Labor Code RF.

Responsibility

Responsible for:

Carrying out professional duties in a quality and timely manner.
Planning your work, fulfilling orders, instructions and instructions from superiors.
Compliance with internal regulations, fire safety and safety regulations.
Preparation of medical and other official documents.
Providing information about your activities.
Contribute to the observance of labor discipline and the performance of their duties by employees accountable to him.
Taking urgent measures to neutralize safety violations that pose a threat to the work of the institution, its employees, patients and visitors.

For the neglect of labor discipline, legislative and regulatory documents, the specialist is liable in accordance with the current legislation.

How to choose the best orthopedist

The selection of a doctor should begin with the administrative component - the availability of the necessary licenses and certificates of advanced training for employees, the possibility of free consultation, etc.

But most important indicator when choosing - professionalism.

This will be confirmed by diplomas and certificates in large quantities.
The doctor often places these documents on the walls of his office.
A good doctor will not focus on the number of procedures he can perform on his teeth, but on their quality.
When choosing a dentist, you need to observe what tools he uses, what technologies the doctor uses, what kind of drugs he uses for pain relief.
And, of course, a qualified physician will not neglect the disinfection of the office, will prepare it, and will also put on special gloves, shoe covers and caps.

Profession dentist

A dentist is a doctor who treats injuries and diseases of the teeth, jaws and maxillofacial area generally. Depending on the specialization, the functions of a dentist can differ significantly: who exactly treats teeth, who makes prosthetics, who is engaged in observation and prevention. There are many specializations.

Nowadays, the profession of a dentist is quite prestigious and popular among those who choose medicine.

Types of specializations of dentists

Since the names of medical professions do not always sound clear, let's try to figure out what a dentist of a particular specialization does.

Dentist-therapist conducts inspections, diagnostics and general treatment- seals and restores teeth by direct methods, removes nerves, prepares the oral cavity for prosthetics. Such a doctor also treats various diseases: caries, gumboils, periodontitis, gingivitis, pulpitis and inflammation of the nerves.

Dentist-orthodontist deals with the correction of teeth, more precisely, their incorrect location in the oral cavity: teeth can grow too close or far apart or just unevenly - this doctor corrects these shortcomings. It is he who prescribes braces, plates and trimers.

Dentist-orthopedist restores and implants (prosthetics) teeth: the first option is used if it is possible to save the tooth, the second - if it is no longer possible to save it. Works in a team with dental technicians.

Dentist-surgeon removes teeth, operates on the jaws, joints and face in connection with injuries, defects, tumors and various diseases, and also prepares the oral cavity for operations performed by a prosthodontist and removes implants.

Dental hygienist conducts dental and oral examinations, consults on dental hygiene and disease prevention, polishes teeth and removes plaque and hardened formations.

Periodontist heals gums and soft tissues surrounding and holding teeth. He should be contacted for bleeding gums, tooth mobility, bad smell from the mouth, the appearance of plaque and calculus on the teeth.

Children's dentist takes care of children and performs virtually all the functions of a dentist-therapist, as well as some others, including the extraction of teeth and a number of operations.

Places of work

The position of a dentist is available in ordinary clinics, as well as in public and private specialized dental clinics. This work can safely be called in demand, because. Dentistry is always relevant.

History of the profession

People have been trying to treat their teeth since time immemorial. At least the "father of medicine" Hippocrates at the turn of the 4th-5th centuries BC. already offered to relieve toothache in the literal sense with a red-hot iron. Toothbrushes existed in the Middle East by 500 AD, and the first fillings are mentioned in China in 659 AD.

In Russia, dentistry as a separate branch of healing appeared under Peter I (although teeth were treated, of course, before), who himself tried to perform the functions of a dentist. And in 1881, the first school of dentists opened in St. Petersburg.

Responsibilities of a Dentist

Key Responsibilities of a Dentist:

reception and treatment of patients;
preventive examinations and sanitation of the oral cavity;
maintaining medical records.

For specific specializations of dentists, specific responsibilities may also be provided. So, for example, the duties of an orthopedic dentist may include working with optics, micro-invasive prosthetic techniques, etc.

Requirements for a dentist

The standard requirements for a dentist are:

higher medical education;
the presence of a medical book and a valid certificate;
computer knowledge;
experience in the specialty.

Once again, we note that there are several dental specializations, and therefore the certificates must correspond to them exactly.

How to become a dentist

You can become a dentist (or rather, a dental assistant) without a university diploma - it is enough to receive a secondary vocational education at a technical school or college, or even complete special courses. However, career and professional growth will require a higher medical education and preferably the completion of an internship.

The salary of a dentist ranges from 25,000 to 100,000 rubles per month. In big cities you can get even more.

The answer to the question "how much does a dentist earn?" directly depends on the experience and qualifications of the doctor, and even more - on the region. It is of great importance in which clinic - public or private - the doctor works.
The average salary of a dentist is about 44,000 rubles per month.
In addition to higher education, there are a number of short-term studies on the market lasting, as a rule, from a week to a year.
Modern scientific and technical academy and a number of its courses in the direction of "Dentistry".

The Interregional Academy of Additional Professional Education (MADPO) teaches in the specialization "Dentistry" and issues a diploma and a certificate.

Medical University of Innovation and Development invites you to pass distance courses retraining or advanced training in the direction of "Therapeutic dentistry" with a diploma or state certificate. Training lasts from 16 to 2700 hours, depending on the program and your level of preparation.

Who is an orthopedic dentist, what does and treats?

Modern dentistry is not limited to one therapy or surgery. Now other areas responsible for the proper development and restoration of the integrity of the dentition have become widespread.

One of the most demanded areas of dentistry is orthopedics, where the treatment is carried out by an orthopedic dentist.

What tasks does it solve?

An orthopedist is a doctor who specializes in restoring a row of teeth through prosthetics and implants.. The main task of the orthopedist is to restore the functionality of the dentition and return the aesthetics of the smile.

The dentist ensures the integrity of the series, both with single defects included, and with total absence teeth and their roots. For this, a variety of modern techniques are used, selected for each patient after a detailed examination.

Treatment of diseases of the maxillofacial apparatus

In the treatment of jaw pathologies, the orthopedist must solve the following tasks:

correct diagnosis of the disease. During the diagnosis, even minor details must be taken into account;
precise determination of the appropriate treatment technique, with the preparation of a specific treatment plan;
the most approximate prediction of the results of the correction of the dentition in terms of timing and appearance.

As a rule, the treatment of diseases of the jaw begins with a visual examination and a detailed survey, which are carried out to obtain a general clinical picture of the pathology.

For its detailed study, appointed additional methods examinations: orthopantomogram, radiography of the jaw, MRI. If dental diseases of the dental and periodontal tissue are detected, the orthopedist should refer the patient to a dentist-therapist for their relief.

The orthopedist needs to control all stages of treatment, from the first visit to the complete elimination of the problem.

Restoration of functions: chewing, speech, swallowing

The restoration of functions is carried out at the expense of elimination of defects in a number of teeth, which is carried out using different kind prosthetics. For this, the doctor uses removable, non-removable or partially removable structures.

During the recovery period, the orthopedist must ensure the correct removal of impressions, the precise manufacture of prostheses and their high-quality setting. The task of the doctor will be not only the correct correction, but also observation in the period after installation.

Preventive

The preventive tasks of the orthopedist include familiarization of patients with the elementary rules of oral care that would save the teeth.

He can select the best cleaning products for the patient and explain the rules that will maximize the life of the prostheses.

Restoration of aesthetic defects

Separately, the restoration of minor defects is considered, with the preservation of the root of the tooth, but more than half of the destroyed upper part. To do this, seek help microprosthetics.

The task of the orthopedist during restoration will be to restore the surface of the destroyed part of the tooth without removing the neurovascular bundle. Veneers, inlays, lumineers, which are made from a variety of materials, are used as microprostheses.

Children's orthopedics

Children's orthopedics involves the restoration of the dentition in order to ensure the correct development of the maxillofacial apparatus and bite. With early loss of milk teeth, the orthopedist must promptly eliminate the formed gap, with the help of crowns or splinting.

The features of this procedure will be discussed in the following video:

Specializations and methods of prosthetics

During orthopedic treatment, various methods are used, each of which has its own specific indications.

Dental prosthetics doctor what is the name

The range of modern dentistry services is diverse, every year prosthetics technologies and methods of treating dental diseases are improved, new materials and innovative prostheses appear.

To provide a full range of services, the clinic must have doctors of different specializations.

Let's figure out which specialists you can meet in a dental clinic, which doctor puts crowns on your teeth, and which one treats caries?

Dental professions

There are several medical specialties in the field of dentistry:

dentist-therapist,
orthodontist,
dentist-surgeon,
orthopedic dentist.

An orthopedist deals with the treatment of pathologies of the masticatory-speech apparatus.

Each dentist has his own narrow specialization, and if the therapist directs you for an extraction, then this will be the task of the surgeon.

What does orthopedics do?

Orthopedics is a vast area of medicine that cannot be called purely dental, as it deals with diseases of the musculoskeletal system. The task of orthopedic dentistry is the diagnosis and treatment of pathologies of the chewing and speech apparatus.

Do not confuse an orthopedist with an orthodontist, as these are two fundamentally different specializations. Orthodontists correct bite, align incorrectly standing teeth in a row. Orthopedists are engaged in prosthetics, restoration of the chewing function of the jaws.

But each specialist, in addition to his narrow specialization, also receives a general one, so he can combine his main job with another type of activity in the field of dentistry. For example, orthopedists often combine prosthetics with surgical practice, since the installation of some types of prostheses requires preliminary preparation of the tissues of the oral cavity (surgical intervention).

What are the tasks of an orthopedic dentist?

An orthopedic dentist solves a number of tasks:

Caries, various injuries, thinning of the enamel can cause destruction, which deprives the jaw of functionality and spoils the appearance of a smile. If you ignore the problem, you can lose a tooth, which will entail a lot of problems with the bite, the condition of the tissues of the oral cavity and the digestive system.

Crowns on the teeth are installed by an orthopedist.

Modern dentistry offers many options for solving such problems: from the restoration of minor damage to the serious correction of defects with pins and inlays.

Protection from further destruction

If the enamel is thin, the coronal part is destroyed and there is a risk of further destruction, a crown is placed. The prosthesis returns the lost functionality and aesthetic appearance to the tooth.

Correction of the aesthetic appearance of a smile

This is otherwise called aesthetic smile restoration. With an unsatisfactory appearance of the front teeth, small chips, cracks, an imperfect shade of enamel, veneers or lumineers are used - thin plates that are attached to the front surface of the teeth. This is an expensive pleasure.

Now you know the answer to the question of which doctor puts crowns on your teeth, this is an orthopedist.

What is the name of the doctor who puts teeth? dentures? thanks to all!

Come and chat - you won't be bored!

A dentist-surgeon is a doctor who performs surgical intervention in the treatment of diseases of the oral cavity.

That is, the competence of this doctor includes operations to remove teeth, jaw, joint and face operations associated with injuries, congenital and acquired defects, tumors, infectious and inflammatory processes, diseases salivary glands and nerve fibers in this area. Also, a dental surgeon acts in cooperation with an orthopedic doctor, preparing the oral cavity for implantation of teeth, jaw, or removing existing implants. One of the most complex operations that can be performed by dental surgeons are tooth-preserving operations, when only part of the tooth is removed (for example, one root out of three), while its remaining parts are preserved.

An orthopedic dentist deals with the restoration and prosthetics (implantation) of teeth. If the tooth can still be saved, that is, its root is not destroyed, then the orthopedic dentist restores the crown. And if the tooth is completely destroyed, then prosthetics are used. Today, implantation is the most demanded area of dentistry.

It allows you to fully restore both the appearance of the lost tooth and its function. There are the following methods of dental prosthetics: fixed, removable and conditionally removable. For fixed prosthetics, crowns, bridges, pins and inlays (microprosthetics) are most often used.

Removable prosthetics is the fastest and easiest of the prosthetic methods. False dentures in appearance practically do not differ from natural teeth, are quite durable and have a relatively low cost. Conditionally removable prosthetics are most often used in situations where it is necessary to replace one tooth.

This type differs from the rest in that the installed artificial tooth is easily removed by an orthopedic dentist, but cannot be removed independently.

An orthodontist is a dentist who corrects teeth.

If the position of the patient's teeth is unattractive, if the teeth are uneven, too close, or too far apart, the orthodontist will correct this deficiency.

note

After installing a special device called braces, the teeth will gradually move in the right direction, which will make the smile more beautiful and relieve many other inconveniences.

Correction of the dentition with the help of orthodontics contributes to the prevention of caries and gum disease. Unlike dental implants, the correction of deviations in the growth of teeth with the help of orthodontics takes a longer time, but it does not require surgical intervention or destruction of dental tissue. And the result is often more durable.

so there are 3 types of doctors.

Dentist - prosthetist. Fits dentures. Orthodontist doing braces

What is the name of a dentist

Modern dentistry provides a range of services, so today there are more and more different specializations in this field.

Dental Professions:

In this article, we will discuss each specialization one by one. You will find out: what is the name of the doctor who inserts the teeth, and whether the dentist has the right to remove teeth, which doctor treats stomatitis and much more.

Who is a dentist and what is his job?

In fact, the specialty of a dentist implies a fairly wide range of duties, despite the fact that they study for this profession for only three years.

What does a dentist do:

examines the human oral cavity and establishes a diagnosis;

The dentist has the right to examine the human oral cavity and make a diagnosis, but does not have the right to remove teeth

Many are interested in the question: can a dentist remove teeth? Despite the rather wide range of services that he has the right to provide, he cannot do this, because he does not have enough knowledge and qualifications.

What are the duties of a dentist?

A wide range of dental problems, the emergence of innovative technologies, has contributed to the need for more careful training of doctors in dental activities.

dentist- a specialist who has a higher education, unlike a dentist. In other words, the name of the doctor who treats teeth is a dentist. The duties of a therapist include:

caries therapy;
filling;
treatment of stomatitis, opening of the pulp, etc.

The main duties of a dentist are caries therapy, filling, treatment of stomatitis, etc.

The activity of a dentist is a very responsible work, because it is very important to establish the correct diagnosis and prescribe the correct therapeutic measures so as not to harm the health of the patient.

A dentist must constantly improve his skills, follow new trends in dental treatment, be able to properly use special tools and equipment, and understand medicines.
In connection with the emergence of new specialties, many people get confused and ask a completely normal question: which doctor puts fillings on their teeth?
The filling procedure is an intervention that requires certain knowledge and skills, so a specialist with higher education- dentist.

What does a dentist surgeon do

A specialist who performs surgical actions during the treatment process is called a surgeon. Which doctor removes teeth when it hurts and is unbearable for us? Of course, the surgeon. In addition to this common procedure, his duties include other actions:

implantation;
therapy of diseases of the trigeminal nerve;
therapy of pathological processes in periodontal tissues;
work with nerve endings in the mouth;
treatment of formations in the oral cavity;
cutting gums;
carrying out plastic and restorative manipulations;
preparation for the prosthetic procedure;
therapy of defects of the frenulum of the tongue;
removal of birth defects;
wound treatment;
removal of teeth, both partial and complete.

Implantation and extraction of teeth are the main duties of a dentist surgeon

When carrying out all of the above manipulations, it is important to provide the patient with reliable anesthesia. Most often, local anesthesia is performed, but at the request of the client, operations can be performed under general anesthesia.

Which doctor deals with prosthetics

Let's look at which doctor puts crowns on the teeth. These are the duties of the orthopedic doctor, which include the restoration of teeth, as well as their prosthetics. If the roots of the tooth are good and not affected, then restoration is done, and if the root and tooth are not subject to further use, then prosthetic procedures are performed.

Orthopedics in dentistry is considered the most demanded area. With her knowledge, one can not only successfully carry out restoration, but also restore all functional abilities.
A doctor who puts crowns on your teeth is called an orthopedist. The restoration procedure includes three methods:
Crowns, bridges and inlays are used in the case of a fixed type of prosthetics.
A doctor who puts crowns on your teeth is called an orthopedist.

The fastest and easiest is the removable method. Such prostheses are almost no different from real teeth, quite wear-resistant and practical, affordable.

A conditionally removable method is performed if one tooth needs to be replaced. This intervention is different in that the new tooth can be easily removed by the specialist inserting the teeth, but the person cannot remove it on their own.

Which doctor puts braces on teeth

A specialist who deals with the restoration of the dentition is called an orthodontist. When a person’s teeth are not naturally located beautifully: very close or far in relation to each other, the task of the orthodontist is to correct this defect. After the installation of braces, a person’s teeth take the correct position, due to which the smile becomes more attractive.

This manipulation is an excellent prevention of caries and gum pathologies. Unlike dental prosthetics, the correction of defects in the field of orthodontics requires a longer time, but without surgical intervention or tissue damage. The effect of manipulation is often long-lasting.

Considering that the aesthetic appeal of a smile is considered one of the most important factors in good looks, orthodontics is one of the most popular fields in the dental field today.

A beautiful smile is the key to success in almost all areas of an individual's life. If a person has any anomalies or defects that do not allow him to freely smile, eat, etc.

He will have many complexes.

A specialist who deals with the restoration of the dentition is called an orthodontist.

A real professional is a specialist who has enough knowledge and experience. However, the possibilities of procedures depend on the equipment that the clinic has. The higher the level of the medical institution, the more modern the equipment in it. Accordingly, the result of the services provided will be much better.

To decide on the doctor you need, you must first make an appointment with a dentist or dentist. Whom to go to is up to you. In terms of providing advice, these two specialists are practically no different: you will be examined, diagnosed, prescribed treatment, if necessary, referred to another specialist of a narrow profile.

For this, myotherapeutic, mechanotherapeutic, instrumental-surgical and instrumental methods of treatment are used.

Tasks of orthopedic dentistry

To study the state and functional features of the chewing apparatus.
Conduct general and special examinations of the patient, perform diagnostics.
Evaluate the identified signs of the disease.
Apply knowledge of materials science and laboratory technology to the manufacture of prostheses and other orthopedic devices.

Dental prosthetics is considered a section practicing prevention, diagnosis and elimination dentition defects. The maxillofacial section of orthopedics deals with the clinic, diagnostics and issues of prosthetics, correction of jaw deformities that have manifested themselves in cases of injuries, operations and illnesses.

Orthopedics deals with study and treatment persistent abnormal changes in the dentition and other components of the jaw.

Prosthetics in its activities is based on the principles of preventing the further development of deformities. This gave a new direction in the study of the mechanisms of development of defects, which allowed prosthetics to increase the effectiveness of the measures taken.

Diseases in the oral cavity and the destruction of the dentition are associated with the state of the whole organism as a whole, as the processes in the teeth, gums and jaw are directly related with the action of internal factors. As well as pathologies in the oral cavity lead to disruption of the internal organs.

Orthopedic dentistry includes a branch of orthodontics that deals with correction of deformed organs or anomalies in the composition of the dentoalveolar system. In modern medicine, orthodontics has grown into an independent direction, and occupies a separate place in dentistry, dealing with bite correction.

The orthopedist must know perfectly the biomechanical processes in the dental jaw system. The specialist must have:

To restore teeth, the following types of prosthetics are used:

Removable method.
Removable way.
Conditionally removable reception.

Fixed crowns, bridges, pins and inlays are in demand due to their reliability and durability. A quick and easy way of removable dentures is common because of the affordable price for the majority of people.

Indications for visiting an orthopedic dentist

For every person there comes a period when he may need an orthopedic dentist. Who is this doctor and what does this doctor treat? This mainly concerns the issues of prosthetics.

Patient destroyed tooth due to physical injury or advanced caries. In this case, the appearance deteriorates, the smile is broken, food is chewed incorrectly, which can cause an exacerbation of internal diseases. From this point of view, the opinion of experts is valuable that it is necessary to restore even the back teeth, which are not visible, but chewing takes place with their help.

Before visiting the orthopedist, the patient should contact the dentist's office in order to to make an X-ray and identify a diseased tooth that should be treated before prosthetics.

To restore the dentition, many types of prostheses are used, each of which is appropriate in the indicated case.

Patients do not experience discomfort no complications were found. Allergic manifestations do not occur, since ceramics are materials of natural origin.

Veneers

Veneers are more often used when repairing chips, as the solution seems to be the most aesthetic and practical.

Lumineers

Crowns

Many patients are so afraid of going to the dentist that as a result the teeth are destroyed to such an extent that only going to the orthopedic dentist will help.

Crowns are the most common type of prostheses and are peculiar cap, which with its external shape repeats the tooth.

The material for making crowns is metal, ceramics and high-quality plastic, depends on the durability and cost of the product:

Ceramic crowns are among the most expensive products, they are durable and perfectly follow the shape of the tooth. Another feature is that the material itself is slightly transparent, making it indistinguishable from natural tooth material in the mouth.
Metal-ceramic crowns receive additional strength due to the use of a titanium metal framework. Their price is slightly less, so they are ordered more often. The translucency of ceramics is not an advantage in this case, since a metal ring peeps through it and slightly spoils the appearance. If the client wishes to make invisible metal-ceramic crowns, then a white-colored metal called zirconium oxide is used. This option will cost the patient more than purely ceramic products.
Metal crowns are clearly visible in the mouth, they are made white or yellow, depending on the alloy. Such products have been at the peak of popularity in recent years, but due to the fact that recently the aesthetic side of the issue has come to the fore, other types are used, since they cannot boast of a beautiful appearance.
Plastic crowns are most commonly used to temporarily cover a tooth for whitening or other treatments. They are placed at the time of preparation of another crown, so that the hewn tooth does not cause discomfort to its owner.
Metal-plastic crowns are classified as budget options. They are a more durable prosthesis, but during operation they lose their external qualities, since the plastic quickly absorbs food dyes and loses its shape due to the low strength of the material.

Dentures

If you need to restore a lot of teeth, dentures are used for several teeth at once.

If the side teeth are suitable as a base and require minor repairs, then a crown is put on them, to which a bridge-like structure is attached, replacing several missing teeth at once.

To install any of the types of prostheses or crowns, you should visit an orthopedic dentist, the doctor, from a professional point of view, will tell you all the features of the prostheses and determine the possibility of their installation in a particular case.

Orthopedic dentistry is one of the branches of dental medicine. It can be characterized by such a process as prosthetics, because it was with him that the formation of this direction began. Why might this be needed?

First of all, in case of damage to the teeth or other jaw structures;
With abnormal development of the dentoalveolar system;
With its defects and integrity violations;
For any deformities of the chewing and speech apparatus.

Modern dental orthopedics offers a wide range of services not only in prosthetics, but also in dental implantation. And if earlier dubious materials were used to restore the jaw structures, such as rubber and porcelain, which differed in their appearance from natural ones and could have a negative effect on the body. Now, in dentistry, ceramics and other neutral, and therefore safe, metals are used predominantly, as close as possible in external characteristics to the natural color, and more durable in terms of socks.

All this became possible thanks to the doctors who work in this field. This article will be devoted to them. The main question is: who is an orthopedic dentist and what does he treat.

A specialist engaged in the diagnosis of defective or injured teeth, their restoration or complete replacement with a prosthesis or implant, as well as the prevention of destructive problems of the dentition, is called an orthopedic dentist.

The activity of this doctor does not stop at the reconstruction of the lost structures. In addition, he can refresh the appearance of the dentition by whitening it, and restore any damage to the surface, using innovative materials and techniques.

By modernizing all the tools, technologies and preparations, dental orthopedics allows the treatment of masticatory organs as quickly as possible, without losing their quality and functionality.

An inexperienced eye is unlikely to be able to distinguish the current prosthesis from a natural tooth, because it is not inferior to it either externally or in other characteristics, moreover, it is superior in wear resistance. By the way, patients of an orthopedic dentist are not only elderly people. Even young people may have a need for this, for example due to an injury.

What does an orthopedic dentist treat?

Orthopedics in dentistry is usually used in cases where therapeutic treatment powerless or inappropriate. What does an orthopedic dentist do?

He restores severely damaged teeth - this may be a consequence of physical destruction or the result of caries. In any case, it is impossible to postpone prosthetics, because apart from aesthetics, this can lead to problems. gastrointestinal tract, as the food will be badly chewed, and complicate the process of digestion.
It prevents the complete loss of the tooth - restoration is not complete, but partial. We are talking about those cases when there is a defect in it, it is fragile or weak, and in order to prevent its loss, the orthopedic dentist may offer to put a crown on it.
It helps to hide imperfections and congenital anomalies. There are situations when a person has healthy and strong teeth, but their appearance or structure is very upsetting. It's fixable and painless. Under his preferences, veneers are made, behind which everything is hidden and beautiful.

Unfortunately, people forget that prevention of any disease is easier than cure. They delay a visit to the dentist, and eventually lose a tooth, and then they rush for help to an orthopedic dentist. Moreover, not everyone immediately turns to him. As practice shows, it is the loss of the front incisors that strongly stimulates people to start treating their mouths.

When contacting an orthopedic dentist, he conducts a study of the patient's oral cavity. By the way, your attending physician, who has been trained in orthopedics, can also master these skills at a professional level.

Modern dentistry is not only therapy and surgery. Now much attention is paid to the proper development of teeth, maintaining the integrity of the dentition. One of the most popular areas is dental orthopedics - a section of dentistry that deals with the restoration of the main functions of the maxillofacial apparatus and the aesthetics of the jaws.

What is included in the competence of an orthopedic dentist?

If you were interested in what kind of doctor puts crowns on your teeth and what is the name of a specialist who does not treat, does not pull out, but inserts teeth - you have found the answer to the question posed: this is an orthopedic dentist. The duties of a specialist in this specialty include prosthetics and restoration of damaged teeth to preserve the functionality of the dentition and the aesthetics of a smile.

For help, orthopedic dentists are contacted in the following cases:

Tooth destruction. Regardless of the reason for the complete or partial destruction of the tooth - caries, thinning of the enamel, mechanical trauma - the doctor can restore it by installing a crown or implant.
The need for protection from further destruction. In these cases, a crown is installed, which will stop the destructive process and serve as a replacement for the damaged tooth.
The need to improve the aesthetic appearance. Special plates - veneers - are glued to the front of the incisor, masking cosmetic defects.

Before proceeding directly to prosthetics, after the initial consultation, the orthopedic dentist must decide on the tactics of treatment and conduct a number of additional examinations, such as x-rays or computed tomography. He also makes wax modeling of the restored area.

Additional examinations and procedures:

X-ray of the jaw or part of it;
computed tomography if necessary;
wax modeling.

Activities of a Dental Orthopedic Specialist

For the reconstruction of partially or completely destroyed teeth, it is important for the orthopedic dentist to choose the most appropriate orthopedic treatment method correctly. There are three main areas of restoration: microprosthetics, removable prosthetics and the use of fixed structures.

Microprosthetics

This type of work is carried out with a high degree of preservation of the tooth in cases of loss of its functionality due to a damaged upper part or in the presence of cosmetic defects. As part of microprosthetics, veneers, lumineers and inlays are used. Let's take a closer look at each type of structure.

Veneers. They are installed on the front teeth to correct the appearance of the dentition, help mask chips, cracks, and other damage to the enamel, hide slight curvature or even out the color. They are a thin ceramic or porcelain plate glued to the surface of the cutter with cement. With careful handling, the service life of veneers is about ten years.

The disadvantages of the method include:

the need to grind the enamel before installing the lining;
the impossibility of installing plates of a different type after the end of the service life.

Lumineers are similar to veneers in design, but differ in that they do not require complete grinding of the enamel, since the thickness of the plate is no more than 0.3 mm. The thinness of veneers is both their advantage and disadvantage, shortening their service life.

Cons of Lumineers:

the inability to mask the unevenness of the edge of the tooth;
difficult addiction to glued plates;
increased structural fragility.

Inlays are similar to ordinary fillings, but are made of ceramic and have greater strength and a presentable appearance. They are used in cases of almost complete destruction of the tooth. Most often, with the help of tabs, damaged chewing teeth are restored.

Removable prosthetics

Removable dentures in dentistry are used when it is necessary to restore individual lost teeth or a group of several.

Removable models can be installed at any age, they are widely used in pediatric orthopedic dentistry to straighten the dentition after the loss of a milk tooth. Often removable structures are recommended for older people.

Removable type structures are made of plastic materials such as polyurethane, acrylic and nylon, and repeat the relief of the gums and bone tissue of the tooth. In the mouth, dentures can be attached to healthy teeth using special fasteners. Such structures are called lamellar. It is possible to manufacture so-called models on suction cups (we recommend reading: is a denture on a suction cup placed on one tooth?). In fact, the structure is held in the mouth by a vacuum effect between the gum and the nylon part of the artificial jaw.

There is an option to install conditionally removable prostheses based on metal arched structures - clasp. The advantageous difference between byugels is that this design does not cover the sky. A significant drawback of the method is the inability of the patient to put on and take off the prosthesis on their own.

Installation of fixed prostheses

Fixed structures include crowns, bridges, and implants. Crowns are used when it is necessary to restore one tooth, bridges are used when several units are lost and are three or more dental crowns combined into common system. To install these types of prostheses, it is necessary to have living teeth, which are turned and serve as a support for the structure.

Bridges and crowns can be made from metal, ceramic, and plastic, and combinations of different materials. Due to the translucency of raw materials, ceramic products look more natural, but metal-ceramic crowns occupy the first place in terms of strength, since they are placed on a titanium alloy frame. Plastic crowns have short term wear and are used as temporary until the installation of a permanent prosthesis.

After the loss of one or more teeth, the bone tissue of the jaw begins to atrophy rapidly. To prevent and slow down this process, dentists recommend the use of implants. This type of fixed dentures is the most preferred, but at the same time the most expensive.

Most popular services and prices

Prices for dental prosthetics vary depending on the amount of work, the materials used, the qualifications of the specialist, as well as the region. The installation of prostheses is an expensive procedure, but the high cost is covered by the reliability and durability of their use. What is the best service to use? For example, prices in Moscow in 2017 are given:

What is the difference between an orthopedist and a general practitioner, a dental surgeon and an orthodontist?

An orthopedist is often confused with an orthodontist. Who is an orthodontist, and what is his difference from a colleague with a similar name? There is a big difference between the duties of doctors of these two specialties. An orthopedist, as mentioned above, is engaged in the restoration of damaged or missing teeth, puts dentures. The competence of the orthodontist includes the correction of the bite and related disorders as a result of congenital anomalies or acquired deformities. He installs braces and other structures for alignment.

Orthodontist:

Bite defects can be corrected with the help of special fixed and removable orthodontic structures, such as braces, retainers, stretching plates, orthopedic caps, and so on. Braces can be installed for both children and adults, but in adulthood, the correction will take longer.

The question arose: who removes diseased teeth - a therapist or a surgeon? People come to the therapist with a toothache or for the prevention of diseases. He treats pulpitis, installs fillings and, if necessary, refers to narrow specialists.

When treatment is impossible or inappropriate, a dentist-surgeon takes over. They also resort to his help to eliminate cysts and neoplasms, he opens abscesses and performs some other operations. Although the prosthetists who insert the teeth are skilled in extraction, this is most often done by the surgeon before the implant is placed.

Most people do not think about what kind of specialist they need when contacting a dental clinic. Conventionally, they are all called dentists, but among them there are different directions. Surgeons, orthopedists and orthodontists have their own characteristics in their work, they are resorted to in different cases. When looking for a good specialist, it is worth clarifying his specialization in order to understand how suitable he is.

Dentistry is a branch of medicine, therefore, during the training period, students devote most of their time to general practice and the study of the whole organism. Orthopedists are not only among dentists, as this industry deals with bones in general. Orthopedics is responsible for the restoration of the bone structure and the prevention of its destruction.

The main responsibility of orthopedic dentists is prosthetics. They examine the oral cavity, provide a choice of ways to solve the problems of the dentition, after which they prepare the patient for prosthetics, make a prosthesis according to individual measurements and install it directly. Prosthetics provide not only beautiful smile, which has all the teeth, but also, first of all, restores the functional part of the dentition. Although orthopedists are more often contacted for the loss of front teeth, prosthetics of chewing teeth are much more needed.

They are installed on all teeth with complete or partial destruction. It is possible not only to build up bone tissue, but also to eliminate minor defects in the dentition: wide interdental gaps, different edge heights, and sometimes the color of the dentition.

When should you consult an orthopedist?

When you visit a clinic, you are usually referred straight away to a general dentist who can perform most of the work. After his examination, recommendations and a referral to an orthopedist can be given. A consultation with an orthopedist is prescribed in several cases:

Complete destruction of the tooth.

The complete absence of the upper crown of the tooth is a reason to turn to an orthopedist, bypassing the office of a general practitioner, as he will not be able to solve this problem. The prosthetist will provide different variants prosthetics to restore not only a beautiful appearance, but also functionality. It is not necessary to wait for the complete destruction of the tooth to contact such a specialist. The reason may be the loss of most of the tooth. This can happen both from external factors (mechanical impact), and from purely internal ones (caries or periodontal disease).

Preventive measures.

A dentist of any specialty can advise on the rules for oral care, so a person with healthy teeth who constantly visits the clinic for examinations has nothing to do with an orthopedist. But if caries is suspected, there is a need to contact a prosthetist. Although it takes a long time from the moment when caries begins to destroy the surface of the tooth, until it is completely lost, you can use this interval to eliminate the cause of the disease or protect a fragile tooth from possible damage. In such cases, the orthopedist may recommend a prosthesis that does not require tooth extraction, but only turning to cover the fragile process with a stronger ceramic composition. This will protect the tooth from external influences, reduce sensitivity and discomfort while eating. It will also reduce the risk of infection and bacterial growth, which is very common in fragile teeth.

Measures to improve the aesthetic condition of the dentition.

To date, prostheses are used not only to provide thorough chewing food, but also in order to get a beautiful smile. Even in cases with conventional prosthetics, the restored tooth is no different from a healthy one in color and shape. And sometimes it is the change in the shape of the tooth that is the goal of establishing a prosthesis. Thus, it is possible to visually make the teeth larger, close the interdental gaps, align the row along the edge or remove age spots that chemical and mechanical could not cope with. At the same time, not all types of prosthetics grind teeth, the orthopedist will be able to choose the ideal option using the tools that are available in his specialty.

How is the bridge installed?

Installing a bridge structure when restoring a tooth by an orthopedic dentist is a fairly popular method. The advantage of this type of prosthetics is the even distribution of pressure on several teeth, although the bridge itself covers several “empty” sockets at once. This ensures a long service life of the structure. However, this view is one of several that a prosthodontist can offer. With the consent of the client to such a procedure, a cast is made not only of the restored tooth, but also of neighboring healthy ones.

An impression of the missing crown is made from the tooth on the other side of the jaw. In the absence of both teeth, modeling is performed immediately using a computer scan and virtual restoration, after which test casts are made.

To install the bridge structure, it is necessary to prepare the oral cavity, which is also done by the orthopedist. Grinding of healthy teeth is required, which will become a support for the bridge. Two crowns on either side of the “gap” are ground down a few millimeters. A tooth is also prepared approximately the same way when a crown is installed, that is, a “stump” remains above the gum, on which a bridge is put on. The grinding of a healthy tooth must be carried out very accurately and accurately, since the stump must ideally fit under the cap of the crown and be firmly fixed in it.

After the preparation of the abutment teeth, the first fitting of the casts takes place. The orthopedist must make sure that the design will fit perfectly into the jaw row. Since the bridge is installed for a very long time, the prosthesis should not cause discomfort in the mouth, the bite should not be changed, the upper sinuous part of the chewing teeth must be accurate, otherwise the prosthesis will begin to wear out faster than expected.

Once the try-in impression has been ground, a permanent structure is made according to its shape and the final prosthesis takes place with a little grinding as necessary.

What happens if the client chooses implantation?

An alternative to a bridge structure in prosthetics is the installation of an implant. In this case, the help of a dental surgeon is needed, who will implant a titanium pin into the jaw bone tissue. The advantage of this method is the fact that healthy teeth are not touched or turned. Recovery occurs only at the site of tooth loss, but the procedure itself sometimes takes much longer.

When installing a titanium implant, it is necessary to remove the nerve and cut the gum. It takes up to six months for healing after the operation, during which the prostheses are not installed for the client. After complete regeneration of the gums, it is necessary to re-apply to the surgeon who installs the gum shaper. Only thanks to all these procedures, the pin is securely fixed in the jaw.

A crown is placed on the metal head of the pin. Since the pin has standard size, then its grinding, as in the case of a conventional crown on a partially destroyed tooth, is not required. However, the installation of the crown part takes place in several stages. An impression is taken, by the standards of which a fitting model of the crown is made. If it does not require additional grinding, a ceramic prosthesis is made, which is put on the pin head and fixed on it.

This procedure sometimes requires minimal preparation of adjacent teeth, in which shallow grooves are drilled on the sides, so that the implant crown is easily installed and secured with support from both sides.

Veneers, Lumineers

Veneers are thin ceramic linings for teeth. The orthopedist manufactures and installs them mainly to improve the appearance of the dentition:

Installation is made on the front teeth after their filling. Thus, additional protection against tooth decay is given, since the filling site is closed with a ceramic plate. The tooth remains intact and there is no risk of caries or sensitivity.
Veneers and lumineers remove minor defects in the dentition. With their help, you can hide a chipped edge, align a row along the edge, hide pigment spots that cannot be removed with bleaching agents, brighten teeth by several tones even with the natural yellowish color of the bone and teeth, close interdental spaces and, in general, teeth become larger.

Veneers and lumineers are very thin ceramic plates, so for their installation, the orthopedist practically does not need to prepare the oral cavity. This type of prosthetics is installed using a special bonding compound, which hardens under the rays of a special lamp. In some cases, it is necessary to grind the enamel to the same depth as the thickness of the prosthesis. However, in cases with lumineers, as a thinner version of veneers, this is not required, since the prosthesis is quite light.

Lumineers and veneers provide the perfect Hollywood smile. All teeth look healthy, strong and white. Dentures do not require special oral care, except for the standard cleaning twice a day. The shelf life of the design is up to 20 years, in addition, natural teeth remain healthy and reliably protected by a ceramic lining. If necessary, lumineers can be removed without damaging your own teeth and additional subsequent installation of another type of prosthesis. Another advantage of installing veneers and lumineers is the resistance to plaque. Such prostheses do not change color during the entire period of their wear.

How to find a good specialist?

The installation of any type of prosthesis requires accuracy and professionalism from the orthopedist, because the life of the prosthesis depends on it, as well as the convenience of its use. Therefore, it is very important to find a good prosthetist. Today there are thousands of dental clinics that offer their services. None of these establishments will give reliable information, as it is not in their interests to put themselves in a disadvantageous light. This means that information about orthopedists must be sought in alternative sources than in the administration of the clinic.

Recommendations. Word of mouth is a pretty good way to find out how a particular specialist works. Perhaps one of your friends went to an orthopedist and boasts a prosthesis.