The prosthetic procedure is the restoration of damaged or lost teeth, allowing not only to get a beautiful smile, but also to fully realize chewing functions. Various types of dental prosthetics used today make it possible to restore one tooth, several, and even the entire dentition.
First of all, from the point of view of patient convenience, dentures can be removable or non-removable. If it is necessary to replace one or more teeth, dentures are often permanent. In case of complete loss of dentition, previously only removable dentures were used, but today it is possible to install fixed dentures on implants.
Fixed dentures - features and advantages
Fixed dentures are considered the most effective and inexpensive solution to restore dentition.
The most common causes of tooth decay and subsequent loss are:
- abundant carious lesions;
- pulpitis;
- periodontitis;
- dental cysts, etc.
As a result of these dental diseases, tooth crowns and roots are destroyed, teeth fall out on their own, or surgical intervention is required to remove dead hard tissues and roots. For restoration, the dentist recommends permanent dental prosthetics, the basis of which is a bridge and ceramic crowns of the latest generation.
Advantages of fixed dentures:
- Aesthetics. Fixed dentures are difficult to distinguish from your teeth. With proper selection and proper installation, the design looks harmonious in the oral cavity, and the person smiles boldly.
- Comfort. A person quickly gets used to a fixed denture and does not feel discomfort afterwards.
- There is no need to build up bone for high-quality implementation of a fixed denture. When using modern artificial roots, there is often no need to build up bone tissue. This simplifies the entire dental procedure and makes it much more affordable.
- Fast payback. The investment in fixed dentures always pays off in dental health, attractive visual effect and durability.
Which dental prosthetics should you choose?
The choice of dental prosthetics method depends on the specific situation, the condition of the oral cavity, physiological characteristics, individual preferences and financial capabilities. If the teeth have external defects, but healthy roots, then it is possible to install veneers or crowns.
If 1-2 teeth are lost, they can be restored with a bridge or implants. If most of the dentition is lost (or cannot be restored), then there are 2 main options - acrylic removable dentures or complete dentures on implants using the All-on-4 system (i.e. “all on four”) or All-on -6 (i.e. “all on six”).
The main types of permanent dental crowns
At the stage of planning treatment with a fixed denture, the dentist, together with the patient, decides which type of fixed dental crown to use for high-quality prosthetics.
Currently, the most common fixed dentures are:
- Teeth crowns
They are used if the hard tissues of your tooth are destroyed by more than 2/3. The implementation of this type of fixed dental prosthetics occurs as follows:
- the tooth is strengthened with a supporting core and a fiberglass dental pin;
- the tooth is ground down;
- the dentist makes impressions of the tooth;
- After a week or two, a ceramic crown or one made of metal ceramics, plastic, zirconium dioxide, etc. “sits” on your tooth.
- a person receives a new healthy tooth that does not differ from his own either visually or in functional characteristics.
- Veneers – as a type of fixed denture
- their teeth are prepared;
- a thin ceramic onlay is fixed on the surface of pre-selected teeth;
- within a few hours the patient receives an impeccable effect - even, snow-white and beautiful teeth.
A veneer is a thin ceramic inlay that perfectly matches the shape, color, and transparency of your tooth. Such a fixed denture “sits” with the help of a special dental glue on the front wall of a previously ground tooth. Recently, super-thin permanent dental veneers have appeared, which practically do not require grinding of their crown, do not stick out, and look organic. As a rule, veneers are placed on the front six to ten teeth of the upper jaw (smile area). If the lower teeth are in good condition, whitening them is enough to achieve the ideal effect.
Installation of fixed dentures and veneers occurs as follows:
The average lifespan of veneers with proper use is up to 10 years.
Restoring ceramic inlays are used when more than ½ of the tooth crown is destroyed. Dental micro dentures are made from individual dental impressions in dental laboratories, fixed using a special dental bond, and prevent the occurrence of recurrent caries on the teeth.
Advantages of ceramic inlays (mini dentures) compared to composite fillings:
- high strength;
- durability of teeth (on average, from 3 years);
- ceramic systems do not absorb pigments and do not darken;
- retain their qualities throughout the entire period of validity.
Indications for prosthetics
The main indications for dentures are:
- loss of one or more teeth as a result of illness, injury,
- serious defects in the dentition - chips, cracks, wide gaps between teeth,
- unstoppable erosion of tooth enamel,
- destruction of the crown of one or more teeth.
Some indications are subjective - for example, aesthetic defects such as uneven teeth, slight darkening or natural yellowness of the enamel. In such cases, there is often a desire to improve aesthetics, make teeth smoother, more uniform and more beautiful.
In all cases, the doctors at the Dental Master clinic will help you gain beauty and self-confidence, as well as restore chewing ability. We perform all types of prosthetics - quickly, efficiently and at affordable prices.
Classic dental bridge or fixed dental bridge
A classic bridge is a one-piece denture structure consisting of a base, as well as functional and supporting crowns. Functional crowns replace lost teeth, and abutment crowns serve as the basis for securely holding a fixed denture in the oral cavity.
Why do patients choose dental bridges?
- Deadlines. Prompt production of individual impressions in a dental laboratory - up to 14 working hours. days. With additional payment and comfortable conditions, it is possible to produce a fixed denture in 3–5 days.
- Indications for implantation. A fixed dental prosthesis is an excellent replacement system for diagnoses where there are restrictions on the implementation of titanium dental implants and the installation of crowns on these artificial roots.
- Price. The cost of a classic bridge is several times cheaper than the price of a titanium implant and a metal-ceramic or zirconium dioxide crown.
- No age restrictions. Bridges are often staged for both older people and middle-aged audiences.
The nuances of using a dental bridge with pre-implantation:
- You have to grind down your supporting teeth, albeit a little;
- It is often necessary to first remove the roots of the teeth before implantation.
How much does dismantling cost?
The price for the service of removing an orthopedic device consists of the material from which it is made, the number of crowns to be removed and the method chosen by the doctor to remove it. How much does it cost to remove a fixed prosthesis? On average, the cost ranges from 800 to 3,000 rubles. And, as a rule, it is included in the total amount for subsequent treatment and preparation for prosthetics, or more precisely, re-prosthetics.
Adhesive fixed bridge prosthesis
An adhesive fixed denture got its name due to the peculiarities of fixation on the supporting teeth. To connect it with living tooth tissues, adhesion is used, that is, “sticking” technology. For reliable bonding, the prosthetist uses a dental primer, bond, some types of acids (for example, phosphoric acid), chemical or light-curing cement.
Adhesion helps to secure the ceramic tooth and onlay processes to the supporting teeth without removing the roots and grinding away a large layer of its enamel.
Structure of an adhesive dental bridge:
- main abutment tooth;
- side linings in the form of processes (petals), onto which a fixing compound is applied.
The average lifespan of an adhesive dental bridge is up to five years.
Fixed denture on titanium implants
Fixed dentures on dental implants are one of the most common systems for restoring lost teeth.
The main advantages of such solutions:
- titanium implants installed in deep bone layers preserve hard tissue around them;
- healthy supporting teeth do not require preliminary grinding and root removal;
- the average shelf life of such dentures on artificial roots is twenty years;
- the method of restoring teeth with fixed dentures is considered the most gentle and natural;
- ready-made solution for restoring edentulous teeth;
- attractive dental aesthetics.
The only caveat when installing a fixed dental structure on implants is the considerable cost of the solution.
If we compare all the existing options for fixed dental prosthetics, it is the fixed prosthesis on a dental implant that is the best solution - in terms of quality, aesthetics, reliability and durability of the teeth.
How to care for fixed dentures?
Basic rules for proper care of fixed dentures at home:
- brushing teeth with a brush and dental floss;
- using a dental irrigator (preferably after every meal);
- hygienic cleaning of the tongue.
- preventive visits to the dentist’s office (at least twice a year) to control the quality, reliability of fastening and aesthetics of a fixed dental prosthesis (bridge);
Don't forget to clean the surface of your tongue, where just as many bacteria accumulate as on your teeth and gums. These organisms provoke the development of caries. To clean your tongue at home, use a hygienic scraper with a rough surface, which can be purchased at a clinic or any pharmacy.
If the patient wears fixed dental prostheses made of metal-ceramics or ceramic crowns, experts recommend checking the so-called supercontacts (heightened areas of the bridge) at least 2 times a year and grinding them to avoid chips and mechanical damage to the dental bridge.
If you feel that the bridge or individual teeth have begun to loosen, you should urgently consult a dentist. In case of mechanical damage to a fixed denture, the defects can be eliminated without replacing the structure with a new one. If you lose time, you will have to resort to dental prosthetics again using a new bridge.
How to eat after installing structures
If the prosthesis is made of comfortable materials, if it suits you, then you will be able to eat well right away. Restrictions occur when little time has passed after the removal of living teeth, when you initially had gum inflammation. In such situations, pressure causes pain; you need to limit the chewing load to avoid discomfort and allow the gums to recover.
In general, during adaptation it is advisable to adhere to the following recommendations:
- give preference to soft and warm foods, exclude viscous foods,
- you need to chew carefully and thoroughly, cut food into small pieces,
- It is better to chew food on the side where the process does not cause pain,
- You should refrain from biting food with your front teeth.
After adaptation, when the prosthesis no longer causes pain, you can return to your usual diet. But you should exclude foods that are too hard, viscous, sticky, excessively hot and cold (drinks and soups should be warm, ice cream should be kept a little at room temperature).
Average price of fixed dentures in Moscow clinics
- Types of dentures
- Efficiency of production
- Qualifications of specialists
- Type of clinic
The price of a fixed denture depends on the following factors:
A budget option is a plastic bridge, which is usually installed as a temporary solution to replace lost teeth. Metal stamped dental bridges are also cheap - from 300 rubles. for one unit. The most expensive are bridges with ceramic crowns, which cost about 30,000 rubles. for 1 tooth.
Fixed dentures are usually made from pre-made impressions in a dental laboratory. The average production time is two weeks, but some services offer to speed up this process for a fixed additional payment (from 1/3 of the cost to double the price, depending on the complexity of the work).
Dental prosthetics requires the help of several specialists: a prosthetist, an implantologist, and a dental technician. The dependence is obvious: the higher the qualifications of the professional, the higher the final price of dental prosthetics.
The price of the same fixed denture in different clinics may differ. If you compare the prices of Moscow dentists, the most favorable prices are from the network of dental clinics “32 Dent”.
