Prosthodontics

Overview
Prosthodontics is one of the nine dental specialties recognized by the American Dental Association (ADA).

A prosthodontist is a dentist who specializes in prosthodontics, the specialty of implant, esthetic and reconstructive dentistry. Prosthodontists specialize in the restoration of oral function by creating prostheses and restorations (i.e. complete dentures, crowns, implant retained/supported restorations). Cosmetic dentistry, implants and joint problems all fall under the field of prosthodontics.

The American College of Prosthodontists (ACP) ensures standards are maintained in the field. Becoming a prosthodontist requires an additional 3 years of specialty training after obtaining a dental degree (D.D.S. or D.M.D.) in an ADA approved program. An immense amount of time is spent in clinical and didactic study from 3000 hours over 3 years in a British program to 7000 hours over the same period in US accredited programs. Training consists of rigorous preparation in head and neck anatomy, materials science, esthetics, and occlusion (bite). Due to this extensive training, prosthodontists are frequently called upon to treat complex cosmetic cases, full mouth reconstructions, TMJ related disorders, congenital disorders, and sleep apnea by planning and fabricating various prostheses and orthotic appliances.

Maxillofacial prosthetics is a sub-specialty of prosthodontics. Maxillofacial prosthodontists treat patients who have acquired and congenital defects of the head and neck (maxillofacial) region due to surgery, trauma, and/or birth defect. It requires an additional year of training after completing an ADA approved prosthodontic training program. Artificial eyes, ears, and maxillary obturators are commonly planned and fabricated by maxillofacial prosthodontists. Other less commonly employed prostheses include mouth devices used by amputees to aid in daily activities, tracheostomy obturators, and cranial implants.