During the initial examination, the dentist will carry out an inspection of patient’s teeth, bone structure and will talk to the patient to find out more about their expectations and wishes. At the first appointment a preliminary therapy plan is made and necessary impressions are taken. Based on these models and photographies a prospective temporary restoration –wax up-mock-up is modelled. The advantage of this method is that the patient can see their prospective restoration in advance and can test its function during speech and chewing process. If the patient is satisfied with the look and function of their teeth the prosthetic works, which are basically the copy of planned models, may begin.

Advantages of metal-free ceramics compared to metal ceramics are numerous. Using cutting-edge material and CAD/CAM technology better aesthetic properties, durability and function is achieved. The absence of metal makes these restorations biocompatible and aesthetically more acceptable. High fracture resistance in a thin layer saves the tooth substance thus contributing to the durability of metal-free restorations.

Speaking of durability of a prosthetic restoration, it is important to emphasize that the remaining teeth and surrounding tissue in the mouth should be healthy, without any inflammatory processes. Therefore, it is necessary to prepare teeth for a permanent prosthetic restoration which means engaging other dental specialists who are also a part of our team.

With patients missing a large number of teeth, it is necessary to place implants or plan dentures. Dentures are restorations taken out after eating to maintain oral hygiene.

Dentures range from the simplest acrylic to combined dentures called skeleton dentures. The simplest dentures are made for toothless patients and are the least comfortable when eating and speaking. Skeleton dentures are very thin and comfortable, made of one-piece cast metal. They lean onto other teeth which makes them good and durable. According to the way they lean, they are divided into: dentures with attachments, dentures with hooks, dentures with telescopic crowns.

Dental prosthetics
Metal-free (nonmetal) ceramic crowns covering teeth and implants
Metal ceramic crowns covering teeth and implants
Ceramic veneers
Ceramic inlays and onlays
Bridges without grinding – Maryland and inlay bridges
Partial skeletal dentures with crowns and telescopic systems
Supradental dentures
Full acrylic dentures
Nikolina Osmić DDS
dental prosthetics specialist
Kristina Hristova DDS
dental prosthetics specialist

Metal ceramic crowns

Despite all the advantages of the metal-free ceramics, most of the restorations are still carried out using metal ceramics. In these crowns, metal is used as a base for the ceramics. It lands firmness to the ceramics. An alloy for the construction of the metal base has to meet special requirements in terms of its compatibility with the ceramics, good connection, thin metal suprastructure and electro-chemical stability.

On the global market there is a huge number of various alloys that belong to the following groups:

high noble,
non precious.

Today, chrome-cobalt-molybdenum alloys (without nickel) are commonly used, because of their good characteristics and affordability.

Prosthetic restoration on implants (crowns and bridges)

Prosthetic works on implants are as important as the surgical procedure for the installation of implants. Besides the aesthetical requirements, a special emphasis is put on the functional aspects that guarantee durability and reliability. Individually adapted technical procedures, as well as team work (implantologist – prosthetics specialist – dental technician) is what sets us apart from many other clinics. All the persons involved in the process are our employees, without any outsourced personnel. Each and every patient undergoes a detail examination, on the same day, by all the experts involved in the process. All the steps of the restoration (impression, jaw position measurement, suprastructure testing, metal or zirconium core testing, pre-enamel testing, temporary and permanent cementing) are carried out with all the participants in the process being present.

Construction of metal-free crowns (zirconium)

Metal-free crowns are used for the teeth in the aesthetical zone. With most young people, the aesthetical zone is normally in the area of the front teeth of the upper jaw, from the second permanent premolar to the second permanent premolar on the other side. There are various types and widths of a smile that can extend this zone towards the permanent molars and gums above the upper jaw teeth. With aging, this zone is further extended to the area of the front teeth of the lower jaw. These biological aspects are the first criterion for assessing the necessity of the construction of metal-free crowns.

Zirconium is an artificial material of exceptional firmness and beauty. Of all the dental ceramic materials, it is best suited for modern dental restoration. Since there is no metal under the ceramics, the tooth has a transparent, natural look.

Construction of ceramic veneers

Ceramic and composite veneers are used in the same cases in which metal-free zirconium crowns are used. However, this is a less demanding method for achieving the same aesthetic quality with maximum preservation of the natural dental tissues. Because of this, such veneers are more comfortable to install, and are often chosen by patients who are undergoing prosthetic intervention for the first time.

Construction of ceramic inlays and onlays

Construction of ceramic or composite inlays and onlays is a further step in the evolution of the dental science in terms of aesthetical and functional requirements of the fillings. Individual construction of inlays and onlays in our dental laboratory, after the dental impression has been made by our stomatologist, ensures better modeling and imitation of dental characteristics.

Construction of metal ceramic crowns and bridges

his is a standard for solving many prosthetic indications in all age groups. Still the most frequently used type of fixed and combined purpose works, construction of metal ceramic bridges is a safe, maximally standardized method. Development and usage of new materials increases their reliability and quality. For example, metals used for this purposes have no ferromagnetic properties.

Fiberglass restorations

Fiberglass restorations are used for the preparation of the root of the tooth, in order for a metal-free crown to be placed.

Classic partial and complete dentures

Classic partial and complete dentures are used for the prosthetic care of the patients with insufficient number or quality of teeth, for the construction of some of the above mentioned prosthetic solutions. Strict aesthetic and functional standards for these restorations are the same as for those used for other prosthetic works.

Skeleton dentures with attachments (CK)

Skeleton Visil-Vironit dentures are a type of dentures with special stabilization systems in the patient’s mouth. This way, the feeling of a presence of a foreign body is lessened, and the functional transfer of forces during chewing is more similar to those experienced with fixed dentures or natural teeth.

Construction of dentures for toothless patients with retention implants

This is a very important technique for improving the quality of life of the patients with complete dentures, especially in the lower jaw.

Construction of supradental partial dentures

Valplast dentures (flexible)

Construction of immediate dentures

(installation of dentures right after a tooth has been extracted)

Construction of obturator dentures

(for patients with bone jaw defects)