The maxillofacial prosthodontics team are here to help with your smile journey. Our multi-specialty team of surgeons and specialists are committed to providing you with the highest level of personalized care. We have expertise in the latest treatment methods for even the most complex cases.
A prosthodontist is a specialist in cosmetic restoration of the teeth, jaw and smile. Such restoration may be needed due to dental disease, trauma, surgery or defects present at birth. Prosthodontists go through additional two to three years of training after the dental school. They have expertise in a variety of techniques to replace missing teeth, restore jaw and bone deformities and help you regain both confidence and function. Our prosthodontists work closely with our general dentistry team, facial plastic surgeons and otolaryngologists on the most complex cases.
Treatments and Services We Offer
Complex dental restorations are procedures that replace many, if not all, of the teeth on the lower or upper jaw with a combination of crowns, bridges or dental implants.
Patients who need complex restorations typically have very worn teeth due to these or other reasons:
- Chemical erosion
- Gastroesophageal reflux disease (GERD)
- Bruxim (clenching and grinding teeth)
After your initial evaluation for a restoration, our prosthodontist will create a diagnostic model of your mouth and use it to outline the restoration plan.
At Johns Hopkins, we have introduced an advanced method of completing complex dental restorations, known as cone beam CT-guided implant restorations.
While complex dental restorations are very involved and take at least six months, our patients are thrilled with the results. Not only do they regain function and form while talking, chewing and swallowing, they get their smile back.
Maxillofacial prosthetics include bone grafts, dentures and dental implants that help with reconstruction after a trauma, birth defect or complications of treatment. Maxillofacial prosthetics can help restore the form and function for patients who experienced:
- Head and neck cancer treatments that altered their facial anatomy
- Deformity of the face or mouth, such as cleft palate
- Facial or dental trauma
Oral pathology is a branch of dentistry concerned with oral cancer and other pathologies. We consult with patients who are concerned about suspicious oral lesions. We read slides from biopsies and report on results.
During cancer treatment, you may see a prosthodontist who can make interim prostheses and help plan the bite reconstruction after the treatment.
We also advise that head and neck cancer patients are screened before radiation treatment to evaluate jaw health. This helps us make recommendations to prevent osteonecrosis during jawbone radiation.
Who We HelpYou can rely on our prosthodontists if you are:
- Missing a number of teeth
- Interested in dental implants
- Unhappy with the appearance of your teeth and smile
- Unhappy with your dentures
Cone Beam CT-Guidance for Dental Restorations
Cone beam computer tomography (CT) is a technology that allows our team to build a three-dimensional model of your jaw and teeth. This helps us plan a complex dental restoration. We use cone beam CT-guided implant restoration when installing six to 10 dental implants on the top or bottom of the mouth.
In the past, complex dental restoration would require making temporary models, crowns and bridges to show the result. Now, with software guidance and a specialized computer using CT technology, our dental team can plan the positioning of implants in relation to the bone and teeth. This means the result is aesthetically pleasing and functional. Once we create surgical guides that specify the exact position of the implants, the temporary restorations are placed while patients are sedated or under general anesthesia.
Our clinic at the Johns Hopkins Outpatient Center has an oral surgery suite, seven dental treatment rooms and a radiology suite, each equipped to provide quality comprehensive dental care for you and your family.