Alexandria, VA

Prosthodontist

Prosthodontist

Prosthodontics is a field within dentistry that focuses on restoring missing or deficient teeth. The term comes from the words "prostho," meaning replacement, and "dontics" referring to the teeth. Prosthodontists are dental specialists who treat patients using prosthetics such as crowns, implants, bridges, dentures, and bonding.


Prosthodontics is available at Alexandria Old Town Dental in Alexandria and the surrounding area. We can help you better understand your condition and discuss treatment options that best suit your lifestyle.

Prosthodontics Explained

The American College of Prosthodontics defines the term as a dental specialty responsible for the diagnosis, treatment planning, rehabilitation, and maintenance of the oral function, comfort, appearance, and health of patients with clinical conditions. These conditions are associated with missing or deficient teeth or oral and maxillofacial tissues. Prosthodontists have the specialized training and experience in providing treatments that restore both aesthetic and oral function.


Possible treatments for restoring missing or deficient teeth include bone grafts, dental bonding, prosthetics, and cosmetics. Each treatment comes with its own set of advantages and disadvantages, which are explained after the initial consultation appointment. Thoroughly examining the patient allows our team to give a proper diagnosis and recommend treatments that work for their condition.

Fixed Prosthodontics vs. Removable Prosthodontics

 Prosthodontics covers a wide range of services and treatments, some fixed and others removable.

Green abstract logo: a triangle atop a horizontal line with five vertical lines.

Fixed Prosthesis

Fixed prostheses are permanent appliances that stay on a patient's teeth. They are commonly used when a patient has one or more missing teeth that are close together. Fixed prostheses include bridges, inlays, onlays, crowns, and veneers, all of which improve patients' smiles.

Green abstract logo: a triangle atop a horizontal line with five vertical lines.

Removable Prosthesis

Removable prostheses are dental appliances that can be taken out, usually for cleaning the teeth and gums. These appliances are typically used for patients with the majority of their teeth needing restorations. Removable prostheses include partial or complete dentures and rebasing and relining treatments.

Why Prosthodontics

Patients who can benefit from a prosthodontist's care and knowledge often have complex or atypical dental restoration needs. A prosthodontist can help with the following issues:

  • Cleft palates or missing teeth
  • Complete and removable partial dentures
  • Complex care management
  • Cosmetic dentistry
  • Dental implants
  • Oral cancer reconstruction
  • Snoring and sleep disorders
  • Temporomandibular joint syndrome/disorder
  • Tooth replacement
  • Traumatic facial injuries

While cosmetic dentists and general dentists can provide care for some of the above issues, consultation with a prosthodontist before undergoing dental restoration helps explore various treatment options. Prosthodontists have advanced training and utilize the most current restoration technology and techniques. Moreover, these professionals work with an understanding of the mouth's intricate dynamics, which helps achieve optimal smile makeover results.

Areas of Prosthodontic Treatment

l prosthodontic patients undergo an extensive examination and consultation before receiving treatment. Once the doctor has a deep understanding of a patient's needs, an in-depth treatment plan is devised that may or may not necessitate several other dental professionals. Though the list of treatments is extensive, prosthodontists generally offer the following services:

  • Crowns

    Patients may need crowns if they recently underwent a root canal or have fractured, misshapen or broken teeth. Crowns cover the entire visible surface of a tooth above the gum line. They are sometimes also known as caps.

  • Porcelain Veneers

    Veneers are ultra-thin casings of ceramic that cover the front of the tooth. Veneers reshape, elongate, or change the color of teeth. Occasionally they are implemented to close small gaps.

  • Dental Implants

    Implants are necessary to replace missing or severely damaged teeth. Implants consist of titanium steel posts that the dentist embeds into the gum line via a surgical procedure. These posts fuse to the jawbone and provide unwavering support for the cap, designed to look and feel like a natural tooth.

  • Dentures

    Full and partial dentures help improve the aesthetics and functionality of a person who is missing several teeth. Implant-supported dentures provide additional stability. They are attached to the implants rather than resting on the gums.

  • Fixed Bridges

    This method involves using a natural tooth on either side of a gap to support a bridge of one or more artificial teeth. The placement of a bridge usually takes several dental visits. Bridges may last for 10 to 15 years.


    There are simple and surgical extractions. A simple extraction involves the removal of a visible tooth that can be loosened and easily removed using a single instrument. A surgical extraction involves extracting a tooth that lies beneath the gums or is broken at the gumline and is much more difficult to remove. Wisdom teeth are the most common type of extraction, although they can be considered simple or surgical depending on their placement in the mouth.


    We will discuss after-care tips with every patient undergoing an extraction procedure. It is important to rest before and after the procedure as teeth and gums will likely be sore and tender. We will make additional recommendations on a case-by-case basis.

Reconstructive Dentistry

Reconstructive, or restorative, dentistry refers to the practice of replacing missing or damaged teeth and falls under prosthodontics. Reconstructive dentistry includes full mouth reconstruction and other aesthetic and functional treatments for one or more missing teeth. Reconstruction is often necessary as it can help:

  • Fill empty spaces in the mouth, keeping the teeth in proper alignment
  • Replace teeth, making it easier to maintain good oral care habits and help prevent plaque build-up
  • Improve patient health, appearance, and self-esteem

Reconstructive treatments can be done by a prosthodontist, dentist, or reconstructive dental professional. Treatment options include fillings, crowns, bridges, and implants. Reconstructive dentistry focuses primarily on both restoring aesthetic and oral function as well as reconstructing the mouth to prevent further dental complications from arising.

Prosthodontist FAQs

  • Why should I seek a prosthodontist instead of a general dentist?

    It is wise to choose a prosthodontist for reconstructive or restorative dental concerns as they are specially trained to provide treatment for missing and damaged teeth. They will also likely have special tools and equipment designed for prostheses and can better treat more complex cases. A general dentist may refer their patient to a prosthodontist when the need arises.

  • How can I properly care for my restored teeth?

    Patients with dental restorations can keep their teeth healthy using a lifelong recall and maintenance approach, reducing the risk for failure of tooth and implant-borne restorations.This approach poses that patients who schedule and meet their routine checkups and follow-up appointments, especially when feeling symptoms, and regularly maintain their oral hygiene as well as take care of all treatments immediately are more likely to keep their prosthesis and teeth healthy.

  • How can I prepare for prosthodontic treatment?

    During the initial consultation appointment, Alexandria Old Town Dental will explain the chosen treatment in detail, ensuring the patient knows what to expect on the day of their procedure. We recommend patients sleep well the night before, brush and floss, and come in early to the appointment, which can help greatly reduce anxiety or fear.

  • How often are follow-up appointments for prosthodontic treatments?

    We recommend patients schedule follow-ups every six months to clean, adjust, repair, or replace their restorations. We ensure the prosthesis is working properly during these routine examinations and is not affecting any surrounding teeth, bone, or gums. Routine follow-ups are the best way to maintain your prosthesis and keep your oral cavity healthy post-treatment.

  • Are there any special home-care tips for restored teeth?

    Patients with restored teeth should take extra precautions and practice thorough oral hygiene habits to keep their mouth well-maintained. Brush teeth with a fluoride toothpaste at least twice a day, floss at least once a day, use a mouthwash recommended by your prosthodontist, wear a night guard (if recommended by your prosthodontist) to protect your restorations, and avoid smoking or chewing tobacco and high-sugar or high-acid foods and beverages.