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Hi you will leave that day with an interim partial denture which is resin based. Resin based interim partial dentures sometimes have distal clasps around your last tooth for retention but not always. The final partial denture will be delivered after or at the same time your final canine crowns are cemented -- this depends on how your dentist wishes to proceed. The canine crowns will have special guide planes to ensure proper seating of your partial denture.
Here is an example of a final cast metal partial denture.
Here is an example of an interim partial denture. Just imagine in your case 4 teeth instead of 1 are replaced.
In your case it may be more predictable to have them made by a lab in the traditional manner This is because the teeth have to be properly designed with guide planes to accommodate the partial denture. Also most partial dentures require a framework tryin before resin is added. This will be overall at least 3-4 visits most likely for a cast metal partial which is superior to a resin one. You will have to ask the dentist which teeth rest seats and clasps will be placed on (this is dependent on your individual bite and tooth shape). Models are taken and then the partial denture frame work is designed with these factors in mind.
The issue is not just placing a crown on the tooth. In order to properly support a partial denture the crown has to be designed in a very specific way. CEREC is not really setup to do this like a traditional lab can. With CEREC your dentist would have to manually create guide planes by grinding on the surfaces of your new crown - not as good as having it perfectly cast from the lab. If you dentist already has an impression of the area which they should if it is prepared with a temporary bridge as you state then you would leave the office with an interim partial denture for the front 4 teeth and temporary crowns on both of your canine teeth.
This attachment shows an interim partial denture for 1 tooth just imagine your would be for 4
I advise you to further discuss treatment sequencing with your dentist as there are many treatment variations possible.
The lab that makes the crowns will also concurrently make your cast metal framework partial. They will be fully compatible and custom designed together. The partial has to slide up and down the sides of the crowns in a very specific and parallel way If you have cerec crowns placed on first then they will have to be retrofitted and ground to accommodate the partial denture.
If you got a resin partial it wouldn't matter but they aren't nearly as nice as cast metal.
The crowns you will get on your canine teeth are technically called survey crowns - specifically designed for support of partial dentures.
Temporary crowns are made of tooth colored acrylic resin.
Final crowns are porcelain fused to metal or zirconia
Usually to get a cast metal partial its 4-5 visits total
The most important thing for you to do is have a thorough discussion with your treating dentist about number of visits and steps. They may be comfortable using CEREC and if they are the more power to them. Best of luck with your new smile :).
Yes you should be able to travel. I received my dental license in 2009.
I'm going to open the question back up so you can get some other opinions also since you seem to have many questions :).
Hi. I am Dr. Drew Moore. By the way, Just Answer only allows professionals in the field access to questions. In other words, an attorney couldn't get on here and give dental advice. They filter pretty well. I want to make sure I understand. You are missing the lower front 4 and the lower canines, the eye teeth on each end, have been prepared for crowns, because there is a bridge going across and covering the spaces of the 4 missing teeth. Is that correct? Do you have a picture or can you provide a picture of what you have now?
I'm looking at the history and will weigh in on some of those issues. A lab makes better crowns than Cerec, because a person will wax up a crown on the tooth model, like a jeweler does. So, it is custom made. The metal substructure might be scanned and milled. But, once the metal substructure is made, a real person is taking and "stacking" wet porcelain onto the metal and adding shades and such, so it is custom. Cerec is getting better, but it is designed on a computer and if the dentist or tech isn't really, really well-trained and skilled, the margins will not be as good as a lab fabricated crown. Also, the cerec crowns are made from a block and the colors, while much better than they used to be, are limited. So, what will probably happen is that the dentist will ask the lab to make crowns on the eye teeth, #s 22 and 27 and have them add special ledges, or "rests". The final partial will sit on your other teeth and those rests, like Dr. G showed in his picture. My question is if 22 and 27 are crowned, already, why are you not considering either a permanent fixed bridge, or implants in the bone where #s 23, 24, 25 and 25 used to be?
Hello, Frank Duncan, 37 years in general Dental Practice . It's very common to have 2 crowns and a partial placed at the same time. However it would involve impressions sent to a lab for fabrication. There are no instant cerec type partials. The crowns can be fabricated by cerec but then an impression would have to be made for partial fabrication to fit to the crowns. I suggest a flexible partial for comfort and less possibility of damaging the bone on the crown abutments. Also I suggest that you don't go into a new Dentist saying you want the best unless you find a dentist thru a good referral source. You don't want to be examined based on how much money you are willing to spend. I suggest that impressions are taken and 2 Zirconia crowns and a flexible partial be fabricated simultaneously and this should make you happy.