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Smile Restoration

Prosthetics Opole

Crowns — Bridges — Dentures

Prosthetics at Mikrostomart combines the highest aesthetics with durability. We use only the highest quality materials — E.max porcelain, zirconia, hybrid composites — to ensure your restoration is indistinguishable from natural teeth.

With the 3D digital scanner, we say goodbye to unpleasant alginate impressions. Scanning is quick, convenient, and provides a more accurate result.

Modern prosthetics is digital — we use the 3Shape Trios intraoral scanner instead of traditional impression materials. Less discomfort (no biting into silicone for 5 minutes), more precise reproduction (the scanner measures in microns), faster workflow (the scan is sent digitally to the lab in seconds, no waiting for plaster transport).

The philosophy of prosthetics in our clinic

Prosthetics is the last element in the hierarchy of treatment — we perform it when conservative and endodontic options have been exhausted or when aesthetics require exceeding what bonding/veneers can provide. Philosophy: preserve as many of your own teeth as possible, and where it is impossible — restore in a way that looks and functions like a natural tooth.

Every plan begins with a comprehensive analysis: the condition of remaining teeth, occlusion, aesthetics, gum health, and caries risk profile. Sometimes the best prosthetic decision is to DELAY prosthetics for 6 months — to first treat periodontitis, orthodontics, or RCT of problematic teeth. In the meantime, we use temporary restorations.

What good prosthetics mean in 2026: digital workflow from scan to CAM milling, next-generation materials (E.max press, translucent zirconia), precise fitting under a ZEISS microscope, photographic color documentation. Work equal to dental technician + dentist — without compromises on either side.

Types of Prosthetic Restorations

Six main types of prosthetic restorations — from least to most complex. Each has its clinical and aesthetic indications.

Full Ceramic Crowns

Single tooth · 2-3 visits · durability 15-20 years

E.max and zirconia crowns — the highest aesthetics, no gum discoloration. Indistinguishable from a natural tooth.

Bridges

2-4 teeth · 2-3 visits · durability 10-15 years

Restoration of missing teeth. Traditional and adhesive bridges (on fiberglass, without grinding neighboring teeth).

Inlay / Onlay

Missing teeth · 2-3 visits · durability 5-10 years

Porcelain inlays — an alternative to large fillings. More durable and aesthetic than composite fillings.

Dentures

Implant + crown · 6 months · durability 20+ years

Framework and acrylic dentures. A solution for extensive tooth loss when implants are not possible.

Onlay / Overlay

Large cavity · 2 visits · durability 15-20 years

Partial tooth restoration — when the cavity is too large for a filling but too small for a full crown. Material: E.max press or composite. Preserves more healthy enamel than a classic crown.

Temporary crowns (3D-print)

Bridge solution · 1 visit · durability 6 months

3D printed temporary crowns during the treatment process. The patient does NOT walk around with an exposed stump between visits — they have aesthetically pleasing teeth throughout the treatment period. Made from scanner files during the same session.

Premium materials — comparison

Four main materials from which we make crowns and bridges. The choice depends on the position in the arch (incisor vs molar), the condition of remaining teeth, occlusal forces, and budget.

Most popular

E.max (lithium disilicate)

Premium aesthetics · durability 15-20 years

Translucent ceramic with optical properties similar to natural enamel. Best for anterior teeth (incisors, canines). Strong but not super-strong — in molars, there is slightly more risk of fracture than with zirconia.

Zirconia translucent

Molars + premolars · durability 20+ years

Strength 3-4× higher than E.max. Best for lateral teeth (molars, premolars) and multi-unit bridges. Aesthetics slightly inferior to E.max — but by 2025, translucent zirconia is already very close to E.max visually.

Full porcelain (Empress)

Veneers + single incisor crowns

Classic porcelain with the highest translucency — best for thin veneers 0.3-0.5 mm. Strength lower than E.max — mainly used in the aesthetic zone without lateral forces.

Metal-ceramic (PFM)

Multi-unit bridges · durability 15-25 years

Traditional material — metal framework + ceramic layer. The most durable option for bridges with 3+ points. Drawbacks: black line at the gums after years (if the gum recedes), inability to make without a dark margin around the neck. By 2025, it is being replaced by translucent zirconia in most cases.

Digital Workflow — No Impressions!

Complete prosthetic workflow in our clinic. Everything digital from the first visit.

  1. 1
    3Shape Trios intraoral scanThe scanner builds a digital model in real-time — the patient sees their teeth on a 3D screen. No impression material, no discomfort, no gag reflex. Precision in microns. Time: 5-7 minutes for a full arch + mandible.
  2. 2
    CAD design in the labFiles sent to a partner digital lab. The dental technician designs the crown/bridge in software (3Shape, exocad). We can view the design remotely and approve it before production. Iterations in case of corrections.
  3. 3
    5-axis CNC milling + sinteringFrom a block of material (E.max, zirconia), the 5-axis mill cuts the crown with an accuracy of up to 5 microns. Then sintering at temperatures of 850-1500°C (depending on the material). Production time: 24-48 hours.
  4. 4
    Characterization + glazeThe technician performs manual characterization of color (shading, transparency, micro-etching of enamel) + glaze layer (shine). Each crown is individual — matching the neighboring teeth of the patient. This is where craftsmanship comes in.
  5. 5
    Try-in + cementationAesthetic try-in in the oral cavity — the patient assesses color, shape, occlusal contact. After approval — cementation with composite adhesive cement under a rubber dam (dry field = durability 2× higher than without isolation). Polishing of edges.

Decision tree — when to choose which solution

Patients often ask whether to get a bridge or an implant, or whether to choose an onlay or a crown. The answer depends on the clinical context. Here are key scenarios:

  • Single missing tooth, adjacent teeth healthyImplant + single crown. We do not grind healthy neighbors for a bridge — this is an outdated philosophy.
  • Missing 2-3 adjacent teeth, adjacent teeth with large fillingsBridge on 4-5 points (if adjacent teeth require crowns anyway) or 2-3 implants + bridge.
  • Large cavity after RCT, tooth weakened, but walls preservedOnlay/overlay E.max — preserves more tooth than a full crown. 2 visits.
  • Missing many teeth + bone loss, no budget for implantsSkeletal denture with metal clasps (clamps) or telescopic (aesthetic).
  • Complete edentulism, good bone conditionAll-on-4/6 (bridge on 4-6 implants with immediate loading). Life-changing solution — see implantology.

Durability and maintenance

All declared durability periods assume proper home hygiene + office check-ups every 6-12 months. The most common mistakes that shorten durability:

  • Lack of dental floss / irrigator around crowns — bacterial plaque undermines the edges → secondary caries + leakage.
  • Hygiene in the office every 6 months — removal of tartar + polishing of crown surfaces (porcelain loses shine over time).
  • Bruxism (grinding teeth at night): absolutely a relaxation splint. Without this, crowns break in 2-3 years instead of 15-20.
  • Hard foods: nuts in shells, ice, opening bottles with teeth. Each of these habits can shorten the durability of the crown by half.
  • Contact sports: individual tooth protection (mouthguard). Mechanical trauma often breaks porcelain crowns beyond repair.

What Marcin brings to prosthetics

Work under the ZEISS Extaro microscope: every preparation for a crown, every edge of the preparation, every cementation — performed at 4-25× magnification. The edge of the preparation must be perfectly smooth and seamless — without this, the adhesive cement does not hold, the crown leaks, and caries return in 2-3 years.

Er:YAG laser for gum retraction before the impression: instead of traditional retraction cord (1-2 mm indentation in the gum + bleeding + long wait for hemostasis) — the laser removes a thin layer of gum opening the treatment field WITHOUT BLEEDING. Perfectly dry field = perfect impression. Technique from my master's thesis at RWTH Aachen.

Seamless preparation + 3D-print technique for temporary crown (from my article in the Dental Magazine 2020) — in one session we perform the preparation of the pillar + scan + design + print of the temporary crown. The patient leaves the office with an aesthetically pleasing temporary tooth, waiting 2-3 weeks for the final crown. Without an exposed stump between visits.

Missing a tooth? An implant is often the best choice

A crown mounted on an implant replaces the missing tooth without grinding down the neighbours. A durable 1:1 solution instead of a bridge resting on adjacent teeth.

Explore implantologySee root canal treatment — when a tooth requires RCT before a crownSee aesthetic dentistry — DSD before full reconstruction

Frequently Asked Questions (FAQ)

Crown or veneer — what to choose?

A veneer covers only the front part of the tooth (aesthetics). A crown encompasses the entire tooth (reinforcement). The decision depends on the degree of damage.

What materials do you use for crowns?

Mainly full ceramic E.max and zirconia crowns. They do not cause gum discoloration and are indistinguishable from a natural tooth.

What does the crown-making process look like?

We scan the teeth with a 3D camera (no impressions!), send the design to the laboratory. The finished crown is cemented after 5-7 days.

What are non-prep bridges?

Adhesive bridges on fiberglass. They allow for the restoration of a missing tooth without heavily grinding neighboring teeth.

Do you have to grind a healthy adjacent tooth to make a bridge?

Yes — with a classic bridge, adjacent teeth are pillars and require grinding for crowns. This is why an implant is a better choice for a single missing tooth — we do not touch healthy neighbors. A bridge makes sense mainly when adjacent teeth require crowns for other reasons (large fillings, RCT).

How much does a full ceramic crown cost?

The price depends on the material, the technical lab, and the complexity of the case. Approximate range: E.max 1800-2500 PLN, zirconia 2000-2800 PLN, full porcelain Empress 2000-2500 PLN, metal-ceramic 1200-1600 PLN. Exact cost estimate after consultation + scan.

Does the crown irritate the gum?

No — when properly made. The crown margin should be at or slightly below the gum level (subgingivally). Sharp edges or excess cement can irritate the gum — but that is a fault of the execution, not the crown itself. That’s why we work under a microscope and use rubber dam isolation during cementation.

Can teeth under the crown still decay?

They can — this is called secondary caries and occurs when the crown edge becomes leaky (after years, with poor hygiene). Prevention: thorough dental flossing around crowns, hygiene every 6 months, X-ray check every 2 years. With our standard (microscope + rubber dam + appropriate cement) the risk of secondary caries < 5% in 10 years.

Can an old crown be replaced?

Yes — an old crown is not a death sentence. If the edges are leaky, the color no longer matches, or the tooth underneath has caries — it can be replaced. Workflow: removal of the old crown (sometimes it needs to be cut), assessment of the tooth base, cleaning of caries if present, possibly RCT if deep, new crown from modern materials. Typically 2-3 visits.

Schedule an appointment: 570-270-470
Prosthodontics Opole | Crowns, Bridges, Dentures - Mikrostomart