Prosthodontics

Prosthodontics, also known as dental prosthetics or to treat complex cases, full-mouth rehabilitation, TMJ-
prosthetic dentistry, is the area of dentistry that fo- related disorders, congenital disorders, and sleep apnea
cuses on dental prostheses. It is one of nine dental spe- by planning and fabricating various prostheses. There are
cialties recognized by the American Dental Association only 3,200 prosthodontists in comparison to 170,000 gen-
(ADA), Royal College of Surgeons of England, Royal eral dentists in the United States.[4] Prosthodontists have
College of Surgeons of Edinburgh, Royal College of Sur- been consistently ranked at 6th or 7th positions by Forbes
geons of Ireland, Royal College of Surgeons of Glas- among Americas most competitive and highest salaried
gow, Royal College of Dentists of Canada, and Royal jobs.[5][6][7][8]
Australasian College of Dental Surgeons. The ADA de- Board certication is awarded through the American
nes it as the dental specialty pertaining to the diagno- Board of Prosthodontics (ABP)[9] and requires successful
sis, treatment planning, rehabilitation and maintenance of completion of the Part I written examination and Part 2,
the oral function, comfort, appearance and health of pa- 3 and 4 oral examinations. The written and one oral ex-
tients with clinical conditions associated with missing or amination may be taken during the 3rd year of speciality
decient teeth and/or oral and maxillofacial tissues using training and the remaining two oral examinations taken
biocompatible substitutes.[1] following completion of speciality training. Board eligi-
bility starts when an application is approved by the ABP
and lasts for six years.[10] Diplomates of the ABP are eth-
1 Training ically required to have a practice limited to prosthodon-
tics. Fellows of the American College of Prosthodon-
According to the American College of Prosthodontists, a tists (FACP) are required to have a dental degree, have
prosthodontist is a dentist who:[2] completed three years of prosthodontic speciality train-
ing, and be board certied by the ABP.
1. Specializes in the aesthetic (cosmetic) restoration According to the ADA, specialties are recognized in
and replacement of teeth. those areas where advanced knowledge and skills are es-
sential to maintain or restore oral health (Principles of
2. Receives three to four years of additional training Ethics and Code of Professional Conduct). Not all ar-
after dental school. eas in dentistry will satisfy the requirements for specialty
recognition. Acknowledged by the profession, the contri-
3. Restores optimum appearance and function to your
butions of such and their endeavors are encouraged.[11]
smile. The planning and restoration of implants,
treatment of temporomandibular joint disorder The American Dental Association does not recognize
(TMJ), and rehabilitation of occlusion with prosthe- Cosmetic dentistry as a speciality.[12] Prosthodontics is
ses all fall under the eld of prosthodontics. the only dental speciality under which the concentration
of cosmetic/esthetic dentistry falls.[13] General dentists
The American College of Prosthodontists (ACP)[2] en- may perform some simple cosmetic procedures. Conse-
sures standards are maintained in the eld. Becoming a quently, there are questions regarding whether it is eth-
prosthodontist requires an additional three years of post- ical for general dentists to treat smile makeovers or
graduate specialty training after obtaining a dental de- complex cosmetic and full-mouth reconstruction cases,
gree. Recently, the ADAs Commission on Dental Ac- as they are not qualied to address the complex needs of
[12][14]
creditation (CODA) passed the updated educational stan- the patient. Likewise, there is no specialty recog-
dards for all prosthodontics programs in the United States nized by the ADA for dental implants.
that now mandates surgical placement of dental implants
at an in-depth competency level (on par with other sur-
gical dental specialties)[3] Training consists of rigorous 2 Maxillofacial prosthodon-
clinical and didactic preparation in the basic sciences,
head and neck anatomy, biomedical sciences, bioma- tics/prosthetics
terial sciences, implant surgery, function of occlusion
(bite), TMJ, and treatment planning and experience treat- Maxillofacial prosthetics (Oral and Maxillofacial
ing full-mouth reconstruction cases, and esthetics. Due Prosthodontics) is a sub-specialty (or super-specialty) of
to this extensive training, prosthodontists are required Prosthodontics.[15] All Maxillofacial prosthodontists are

1
2 6 REFERENCES

prosthodontists rst and then attain a fellowship training 5 See also

(1 year) exclusively in Maxillofacial prosthetics that in-
cludes oral surgical and prosthodontic treatments.[13][16] British Society for Restorative Dentistry
Maxillofacial prosthodontists treat patients who have
acquired and congenital defects of the head and neck Commonly used terms of relationship and compar-
(maxillofacial) region due to cancer, surgery, trauma, ison in dentistry
and/or birth defects. Maxillary obturators, speech-aid Craniofacial prosthesis
prosthesis (formerly called as Pharyngeal/soft palate
obturators) and mandibular-resection prostheses are the Dental fear
most common prostheses planned and fabricated by
Dental restoration
Maxillofacial prosthodontists.[16] Other types of prosthe-
ses include articial eyes, nose and other facial prostheses European Journal of Prosthodontics and Restorative
fabricated in conjunction with an anaplastologist.[17] Dentistry
Treatment is multidisciplinary, involving oral and max-
illofacial surgeons, plastic surgeons, head and neck sur-
geons, ENT doctors, oncologists, speech therapists, occu- 6 References
pational therapists, physiotherapists, and other healthcare
professionals. [1] American Dental Association. Specialty Denitions:
Denitions of Recognized Dental Specialties.
[2] American College of Prosthodontists.
3 Conditions [3] http://www.ada.org/en/coda/
current-accreditation-standards/. Missing or empty
All-on-4 |title= (help)
Bisphosphonate-associated osteonecrosis of the jaw [4] Careers and Wages. American College of Prosthodon-
tists.
Bruxism
[5] Kneale, Klaus (4 May 2009). In Pictures: Americas
Edentulism Best-Paying Jobs. Forbes.

Occlusal trauma [6] Prosthodontic Forum Organization Reports Novem-

ber 2007 (pdf). American College of Prosthodontists.
Temporomandibular joint disorder November 2007. Retrieved 12 February 2012.
[7] Weiss, Tara (11 July 2008). By The Numbers: Americas
Most Competitive Jobs. Forbes.
4 Treatment modalities
[8] Prosthodontist Salary. PayScale. Retrieved 4 June
2010.
Akers clasp
[9] American Board of Prosthodontics.
Amalgam
[10] Guidelines for the Certication Process (pdf). Amer-
Bridge ican Board of Prosthodontics. 20 February 2008. Re-
trieved 12 February 2012.
Centric relation
[11] Dental Specialties. American Dental Association.
Crown
[12] Maihofer MG (February 2009). Cosmetic dentistry is
Veneer not a recognized specialty. The Journal of the Michigan
Dental Association 91 (2): 18. PMID 19288658.
Crown lengthening
[13] American Dental Association.
Crown-to-root ratio
[14] Felton DA (June 2009). Ethics, dentistry, and the
Curve of spee prosthodontist. Journal of Prosthodontics 18 (4):
291. doi:10.1111/j.1532-849X.2009.00484.x. PMID
Dental surgery 19635064.
Dentures [15] http://www.ada.org/6429.aspx[]

Fixed prosthodontics [16] Referring Physicians. American Academy of Maxillofa-

cial Prosthetics.
Inlays and onlays
[17] Patient Resources. American Academy of Maxillofacial
Removable partial denture Prosthetics.
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7 External links
4 8 TEXT AND IMAGE SOURCES, CONTRIBUTORS, AND LICENSES

8 Text and image sources, contributors, and licenses

8.1 Text
Prosthodontics Source: https://en.wikipedia.org/wiki/Prosthodontics?oldid=719470939 Contributors: Frecklefoot, Edward, Infrogma-
tion, Axlrosen, WhisperToMe, Lumos3, BenFrantzDale, Wouterhagens, Alexf, Arcadian, Velella, Drschmitt, Dozenist, Miss Madeline,
Crazycomputers, RexNL, Frappyjohn, Chris Capoccia, Gsingh, Grafen, DRosenbach, CLW, Odontastic, DoriSmith, SmackBot, DOC DS,
Gilliam, Darth Panda, Snowmanradio, Dantadd, Bouncingmolar, TastyPoutine, Alessandro f2001, Lentower, Gogo Dodo, Rajaramraok,
Escarbot, KrakatoaKatie, Fetchcomms, Geniac, Magioladitis, Sarahj2107, Ptanner, Darth Mike, STBotD, Cmcnicoll, Simbamford, Ba-
cos, Maduixa, Exert, Jwri7474, Marcusito, Escape Orbit, Minoritarian, Iohannes Animosus, Kevyn82, Apparition11, Tmonzenet, Addbot,
DougsTech, Glane23, Quercus solaris, OsBlink, Luckas-bot, Yobot, Amirobot, Janekch, Awsalani, Loriusg, Xqbot, Loriusgr, Thehelp-
fulbot, RedBot, Trappist the monk, Adamgajlewicz, Somes doubts, Kinger001, Prosthodont, RjwilmsiBot, T3dkjn89q00vl02Cxp1kqs3x7,
Ajraddatz, Mcdonlads123, Mktgguest1, Wikipelli, Albaqobe, ClueBot NG, BarrelProof, Workreviews, Cntras, The Vintage Feminist,
Janine Rice, Dlililb, Randykitty, SJ Defender, Monkbot, Lawyerms, Raymundlagdamen, Singhmahendra1982, KasparBot, The Quixotic
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