The loss of even one tooth in a row can lead to serious negative consequences for the health of the oral cavity as a whole, so it is necessary to solve the problem and restore lost dental units immediately. To restore lost teeth, modern dentistry offers different types of procedures - prosthetics and implantation. The greatest demand among patients is for more affordable prosthetics, which can involve both fixed and removable types of dentures.
In terms of durability and strength of fixation, the best option would be fixed dentures, but their installation is not always possible, and then removable dentures can help restore the beauty of your smile. However, such orthodontic structures are available in a wide range, and sometimes the patient finds it difficult to choose a specific type of product for prosthetics. This article is designed to help you find out all the useful details about removable dentures, and we will start with a detailed overview of all existing types of removable dentures.
Removable dentures: definition and classification
Orthodontic products for prosthetics can be either removable or non-removable. The key difference between the designs is that by choosing a removable denture, you can always either remove or put it on without the help of a specialist. Removable dentures have their own gradation into individual varieties, which is important to get acquainted with - this will help you make the right choice of a specific type of product. First of all, you should know that there are separate types of removable dentures for complete and single restoration.
How to choose a prosthesis?
It is quite obvious that the aesthetic characteristics of more expensive designs will obviously be higher, even taking into account everyone’s subjective assessment. Of the objective factors that will help you choose a prosthesis in the absence of teeth, there are two:
The first is medical indications. If the bone is very thin, it may not be possible to place implants without bone grafting. If the patient is aged, then such operations are carried out solely with an eye to the state of health. Mini implantations and conventional prostheses are often used.
The second is the patient’s requirements for the cost of treatment. This factor plays the greatest role in drawing up the final treatment plan.
Dentures for restoration with complete edentia
Complete restoration of the dentition is necessary when all teeth have been lost and a complete removable denture is used for it, which allows you to effectively solve the problem of tooth loss, but keep in mind that such designs do not differ in reliability and long useful life, and especially the so-called soft orthodontic products - from plastic or nylon.
The rapid wear of the prosthesis is explained by the fact that with a complete restoration it is not possible to achieve coordinated work of the masticatory muscles: the main pressure will be exerted on the mucous and gingival part of the oral cavity and cause a decrease in the natural volume of the tissues of the jaw joint. As a result of this effect, the height of the gums will gradually decrease, and this process will ultimately lead to the fact that the old prosthesis simply will not stay on the installation bed. Moreover, the incorrect position of the removable denture in the mouth will provoke manifestations of pain when eating or actively talking.
Full removable orthodontic products are not the best option for restoring lost teeth because they cannot be properly fixed in the oral cavity and, especially, in the lower jaw area. Even the use of special adhesive gels will not give you a guarantee that the removable denture will not fall out of its place at the most inopportune moment. In such cases, dentists advise not to save money and initially carry out restoration with removable dentures on implants, which we will discuss in detail below.
USEFUL FACT: Removable dentures do not stop the process of bone tissue atrophy and, on the contrary, accelerate its progress. As the bone volume decreases, the denture will no longer stay in place and will require replacement. This is another reason why it is recommended to replace a removable orthopedic structure with a non-removable product as quickly as possible.
Basal implantation
This method comes to the rescue when the patient’s oral cavity does not have the conditions for classical dental implantation - this is a high degree of thinning of the bone tissue and the impossibility of bone grafting. Implants are placed in the basal bone of the jaw, which is largely free from atrophy. Such implants are individually selected depending on the size of the bone and its quality. Metal roots are attached at a certain angle, deep into the bone. The installation of implants and prosthetics takes one week.
There is no need to talk about aesthetics in this case; basal implantation is used if there are no other options for restoring teeth.
The main advantages of basal implantation are lower cost, the possibility of implantation even in the absence of alveolar bone, no need to build up atrophied bone, low cost and short treatment time.
The disadvantages of basal implantation are poor aesthetics and the impossibility of installing a single implant. In addition, if the doctor acts ineptly, there is a risk of harming the patient more than helping him. The qualifications of the doctor play a decisive role when choosing this method of prosthetics.
Removable dentures for partial dentures
If the patient has preserved teeth in the rows and these units are absolutely healthy, for restoration it is optimal to select one of the existing types of removable orthodontic systems for partial dentures.
In partial prosthetics, dentists use structures equipped with a special type of fastener - clasps. At their core, clasps are miniature locks that are attached to the jaw. The elements are made from fairly strong metal wire, which guarantees reliable fixation of the removable denture.
It is important to understand that partial dentures are only possible if there are units in the dentition that can be used as support for the installation of a removable denture. Another important nuance that must be taken into account when selecting a prosthesis for restoration with a single edentia is that not all types of structures are aesthetic in appearance and therefore they are not recommended for installation in the smile area.
Classification of removable dentures in dentistry is also carried out according to the material of their production. The material used to make an orthodontic product is one of the key criteria for the proper selection of a removable denture, since such important indicators as the comfort of use of the structure, its reliability and durability depend on it. Below we will consider in detail all types of removable dentures based on the material used.
Fitting and installation
The installation process will take only 2-3 days, and will require 3 visits to the doctor.
The initial stage includes a primary diagnosis of the oral cavity, the condition of the teeth and gums, as well as taking an impression. The production of a removable denture will take from 3 to 14 days, depending on the type of design chosen.
At the stage of installing a removable denture, it is important to assess the level of comfort when wearing it. It is important that the patient does not experience pain during fitting and does not rub the gums.
At the final stage, the doctor secures the prosthesis with clasps and tells the patient how to use and care for it.
In the case of implants with bar fasteners, support rods are first fixed in the jaw tissue. A short break will be required for implantation. After this, a completely removable denture is installed.
If the patient does not have the opportunity to undergo a rehabilitation period, an alternative may be implantation technology with immediate loading. In this case, tooth restoration takes 1-2 days.
With proper use, a removable denture will last you 7-10 years. If damage occurs, it can be repaired, but if the base is damaged or the dental crowns are severely deformed, then our experts recommend replacing the denture with a new one to eliminate the risk of injury to the oral cavity and infection.
Plastic or acrylic removable dentures
Acrylic or plastic removable dentures are inexpensive and easy to manufacture and use. For their production, a special type of acrylic plastic is used, characterized by increased characteristics of strength, hygiene and hypoallergenicity. The product is fixed to the jaw with soft valves, which are more colloquially referred to as “suction cups”. Naturally, the quality of fixation leaves much to be desired - the soft fastening element does not ensure reliable adhesion of the structure and tissues of the oral cavity.
If you have chosen a removable prosthesis with valves, be sure to make sure of the quality of its manufacture. This can be done using a simple test: having installed the denture in your mouth, try to bite something with it. If you feel air escaping from under the removable denture, it means it is made with high quality and will be comfortable to use.
An acrylic prosthesis will not cause pain during use if its base fits tightly to the gums. Otherwise, the chewing load will be placed on the soft tissues, which will cause a process of gradual atrophy and then deformation of the orthodontic structure itself.
Expert advice: Order the production of an acrylic removable denture with an individual impression tray - this will guarantee a tight fit of the structure to the tissues of the jaw and ensure its most reliable fixation on the jaw.
The advantages of removable acrylic dentures include the following qualities:
- The design is manufactured quickly and simply, which makes its cost as affordable as possible for patients.
- Acrylic removable dentures are easily repaired and restored if broken or damaged.
However, acrylic products also have a number of disadvantages, which are important to study before choosing this type of removable dentures. Professionals call the main disadvantage of plastic structures the fact that when installed in the oral cavity, the base of a removable denture will block the palate and this often causes such undesirable consequences as diction disorders and a decrease in the natural sensitivity of taste buds.
Removable acrylic dentures cannot be used for prosthetics in the lower jaw area, since there is no way to firmly fix the structure on the gums. Without reliable fixation, there is a risk that the prosthesis will fall out during eating or active dialogue. Inexpensive removable dentures made of acrylic do not differ in durability. The product will have to be replaced with a new one every two to three years, since plastic is a material prone to deformation. The useful life of a removable acrylic prosthesis may be shorter in situations where the process of reducing the volume of bone tissue in a patient occurs at an accelerated pace.
If we talk about the exact cost of the service for the manufacture and installation of a plastic prosthesis, it will depend on the type of product and the need for additional procedures before prosthetics. You can get a detailed consultation on removable prosthetics at any time convenient for you at our dentistry in Moscow - VENSTOM (located next to the Baumanskaya metro station).
Comments
What materials are such a prosthesis made of?
Makarova O.A. (08/21/2020 at 10:17 pm) Reply to comment
- The artificial base and gingival edge of the prosthesis are usually made of acrylic, but they are also made of nylon, silicone, polyurethane, and non-monomer acrylic resins. Fastening elements can be made from the base material that makes up the base of the prosthesis, but for strength and greater wear resistance they are often made from medical metal alloys. As for artificial teeth, they are made of plastic, metal-plastic, ceramic and metal-ceramic, and zirconium dioxide. That is, the choice is very wide and actually depends primarily on the type of prosthesis you choose (removable or implant-supported).
Editorial staff of the portal UltraSmile.ru (08/23/2020 at 12:21 pm) Reply to comment
Thanks for such a wonderful article. Tell me, what do you think, with very problematic and regularly inflamed gums, which option should you pay attention to first? The area for prosthetics is large, but I don’t want removable dentures.
Marina A. (09.23.2020 at 09:18) Reply to comment
Please tell me, my mother wants to install such a prosthesis, but I have heard that they are not reliable, they can fly out and wobble. In this case, there will be severe discomfort, is that true?
Elena (09/23/2020 at 01:01 pm) Reply to comment
And I heard that fixing dentures with cream, firstly, is not very reliable, and secondly, with prolonged use it can be dangerous. What creams should I use to ensure safety?
Victor (09/23/2020 at 01:07 pm) Reply to comment
If a removable denture was installed not so long ago, you are wondering how it is fixed, what is the covering structure? How much will it cost to fix removable covering systems on implants?
Oleg (09.23.2020 at 14:30) Reply to comment
Dentures were placed on the upper jaw. It took me a long time to get used to it, they pressed and rubbed. The gums were inflamed. I went many times for correction. Probably in a couple of months I began to wear them fully, but they began to fall off while eating. My dentist recommended Mostaden Twins Tech cream to me. It easily attaches to wet dentures. Does not change the taste of food and drinks. There is a pleasant mint taste in the mouth. Has a secure hold for up to 12 hours. Prevents food from penetrating under the denture. I began to fully wear the prosthesis without fear that it would fall out while eating or while talking.
Alice (10/21/2020 at 11:34 am) Reply to comment
Good afternoon Can you please tell me how long it will take to install dentures on my natural teeth? Is there any alternative while the prosthesis is being manufactured? Thanks in advance for your answer.
Sasha (11/20/2020 at 6:29 pm) Reply to comment
Of course, you can fix any prosthesis in your mouth. Both the lower and upper parts. But if you had surgery or had a bone cut off, then the prosthesis may not fit on such gums. Not every specialist will undertake such work.
Alina (11/20/2020 at 08:22 pm) Reply to comment
It’s good that now there are so many ways and options. But which one is the most reliable, which is recommended in most cases? Or will it all be purely individual?
Olga (11/20/2020 at 08:29 pm) Reply to comment
After reading the article, several questions arose. 1) How long do removable and fixed implants last? Which ones are more durable? 2) Is it difficult to care for them and maintain an aesthetic appearance?
Artyom (11/20/2020 at 09:04 pm) Reply to comment
Of course, implants are better because they will last better. And so my mother used Corega cream. Helped a little, but not much. She has the most ordinary prosthetics. Although I already made the second one 15 years later. The gums sank, so the first ones no longer held up.
Peter (11/20/2020 at 9:16 pm) Reply to comment
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Removable dentures made of nylon in Moscow
Another budget option for orthodontic structures for removable prosthetics are removable nylon dentures. Already from the name of the products it is clear that they are made from nylon - a soft polyamide with increased elasticity. This type of construction is applicable in both complete and single prosthetics. In the production of removable dentures, biocompatible and hypoallergenic nylon is used, which does not change color and properties under the influence of various external aggressive factors.
Dental nylon has a non-porous structure, which prevents the penetration of pathogenic microorganisms into the prosthesis. This quality distinguishes removable nylon dentures from products made of acrylic and other types of plastic. Nylon structures are fixed to the gums, where the base of the removable denture is fixed with special locks. Fastening elements are also made of nylon (less commonly, silicone) and therefore they remain inconspicuous against the background of the natural tissues of the oral cavity. Nylon clasps help to obtain the tightest possible fit of the removable denture to the bed, which is necessary for reliable fixation of the product in the mouth.
Among the advantages of removable dentures made of nylon are the comfortable anatomical shape of the products, compact size and low weight. These characteristics facilitate the process of adaptation to the design and reduce the risk of pain during the use of a removable denture. But orthodontic products made of nylon have not only advantages, but also a significant number of disadvantages:
1. A removable nylon denture does not provide coordinated work of the masticatory muscles and therefore excessive pressure occurs in the oral cavity on the soft tissues and mucous membranes. Constant loads on soft tissues and jaws accelerate the process of receding gums and reducing the volume of bone tissue.
2. Increased flexibility of the design leads to the fact that some of its elements will work more when chewing food, while others will work less. The result of uneven load is the patient’s discomfort while eating and fairly rapid wear of the removable denture.
3. Over time, the removable nylon denture sags and this phenomenon is fraught with inflammation in the oral cavity.
4. The surface of the product is rough and therefore plaque accumulates on the prosthesis, stone is formed, and an unpleasant odor may appear from the mouth.
Also, the disadvantages of removable dentures made of nylon include the significant time consumption for manufacturing the structure and the need for frequent and regular visits to the dentist for hygienic procedures to sanitize the denture base and the oral cavity.
Which removable dentures are better – acrylic or nylon? Comparison of designs and reviews from experts
What type of dentures is better - nylon or acrylic? Patients often turn to dentists with this question, finding it difficult to make a choice on their own. The answer to this pressing question will depend on in which area of the oral cavity restoration is required and what kind of restoration it will be - complete or partial.
If it is necessary to carry out prosthetics with complete edentia, then it is more advisable to opt for acrylic removable dentures - they stay in the oral cavity better due to the “suction cup” effect. But nylon and acrylic removable dentures are equally poorly suited for restoration in the area of the lower jaw bone - the products simply cannot be firmly fixed in this area. Therefore, here it is best to consider a fundamentally different type of structure - clasp dentures or dentures on implants. Nylon prostheses are inferior to plastic structures in terms of ease of use and durability. When using them, patients are more often concerned about painful relationships, and the care of a soft polyamide prosthesis requires more complex and specific care.
However, removable dentures made of acrylic are not suitable for the restoration of lost dental units with single prosthetics. The clasps of the prosthesis will be clearly visible, which can cause psychological discomfort to the patient. Therefore, for single dental prosthetics in the smile zone, preference is given to clasp or nylon products. Do you want to know more about plastic and nylon removable dentures and make the right choice of denture design? Sign up for a consultation with specialists at our clinic in Moscow – Vanstom! We are located next to the Baumanskaya metro station!
Alternative solutions
Atrophy of the jaw tissue becomes a serious argument in favor of fixed prosthetics. In the case of complete adentia due to bone deficiency, the optimal solution is immediate implantation, with fixation of the prosthesis for 2-3 days.
This technology includes All-on-4 and All-on-6 punctures. For installation, 4 and 6 dental implants are used, depending on the condition of the bone tissue. This technology allows you to fix a removable denture immediately after installing the implants.
Titanium rods are almost completely fused with the jaw bone. The prosthesis is tightly fixed to the implants, without the risk of displacement, and it can be loaded immediately after its installation.
The operation includes several stages:
- Initial examination, hardware diagnostics using 3D modeling technology.
- Preparing the jaw for implantation - removing decayed teeth, choosing a site for installing implants.
- Fixation of titanium rods in a gentle manner, with minimal surgical intervention (without deep incisions).
EspaDent's own dental laboratory allows us to produce a removable dental prosthesis in the shortest possible time, without loss of quality or extra costs.
Dental dentures “Acry-free”
Innovative removable dentures are “Acry-free” dentures. These are elastic and flexible products made from unique raw materials based on acrylic resin. Acrylic gives the finished structure the necessary strength, rigidity and ensures its durability during operation.
Acri-Free removable dentures are often confused with products made of nylon or plastic, but this is a mistake: the designs have individual quality characteristics and are also easy to restore if the system breaks down. The material for making removable dentures Acry-free is biocompatible with the tissues of the oral cavity and is identical in color to the shade of the gums, which makes the finished structure aesthetic and invisible to others.
Choosing Acri-Free removable dentures is advisable if you have the following indications:
- An individual allergic reaction in a patient to metal alloys and plastic.
- The loss of both one tooth and the complete loss of dental units in rows.
- Periodontitis and periodontal disease. Installing a removable denture for this pathology will help prevent the process of further loosening of the teeth.
- Acri-Free soft prostheses are recommended for people whose professional activities are associated with an increased risk of injury.
Removable dentures of this type are valued by professionals for a significant number of advantages. In particular, the system may be used in prosthetics in cases where the patient has serious gum disease. Acri-Free structures are firmly fixed in the mouth, easy to repair, and the material they are made of does not cause allergic reactions or irritation of sensitive tissues of the oral cavity.
The advantage of Acri-Free is its excellent indicator of the tight fit of the products to the prosthetic bed, which eliminates the manifestation of pain when eating and helps to ensure proper functioning of the masticatory muscles. To install the system, it is not necessary to pre-file healthy teeth, and the prosthesis itself does not sag, does not absorb moisture, and pathogenic bacteria and foreign substances that can stain or damage the product do not penetrate into it. The structures do not require specific and labor-intensive care, their cost is lower than that of nylon removable dentures and, if desired, you can leave the denture on at night.
The only disadvantage of Akri-Free removable dentures is that their constant use will lead to gradual atrophy of bone tissue. But this disadvantage is characteristic of all types of systems used in removable prosthetics.
Artificial jaws: types
First of all, let's define the terminology to make the following text easier to understand.
- Basis - the base, which looks very similar to the gum, fits tightly to the oral cavity. The borders are made of modern polymer materials.
- Fastening – various locks with hooks securing the entire structure to supporting healthy organs.
- Implants are elements firmly embedded in the base, replacing individual chewing units. In production, light components are used that are as close in color to real teeth as possible.
Classification by type
Types are divided according to the substances contained in the composition. However, a distinction based on how partial dentures are placed, how they are inserted and secured, and what the dentures look like is the most correct approach.
Lamellar
The most inexpensive and accessible way to restore chewing functions. The plastic base completely covers the curves in the patient’s mouth and the contours of the gums. They are attached to supporting intact masticatory organs. Acrylic, nylon, and other modern materials that prevent allergic reactions are used in the production of these implants.
Low cost with simple fixation are the main advantages. The age group of patients for their use is not limited. However, the restoration of chewing functions does not occur completely; diction may be impaired, and the structure does not hold well in the mouth. The photo shows the installation of removable plate and one-sided dentures on hooks.
Clasp
Artificial analogues are attached to a metal frame. Since the base is made of durable material, the product will last quite a long time. Installed using various hooks, crowns and other methods.
This type of substitution is not suitable for those who have allergic reactions to the main component. High cost is also a significant disadvantage. Among the positive features are strength, strong fixation, complete restoration, natural appearance.
Immediates
They cannot be considered a permanent solution, as they are temporary measures. The installation of partially removable dentures is shown in the photo.
For a short period of time they can completely restore all aesthetic and chewing functions. But, it should be remembered that their use is only possible when one or two damaged units are restored.
Low cost along with quick installation are positive aspects. Soft components make the implant unstable to heavy loads and greatly reduce its service life. The use of immediates is common in dental practice when it is necessary to prevent the displacement of remaining teeth towards the removed ones.
Clasp removable dentures
Prosthetics with clasp dentures are in demand among patients because they allow one to obtain the most reliable and at the same time aesthetic result for the restoration of lost teeth. Structurally, removable dentures are a plastic base with a metal alloy arch on which artificial teeth are attached. The product is fixed to the prosthetic bed with special locks, the type of which is selected based on the characteristics of the case and the preferences of the person requesting the service.
Removable clasp dentures are applicable for both complete and partial restoration and are graded into different types according to the method of fixation:
- Removable dentures with clasps have special hooks made of a metal alloy, which are attached to the supporting teeth.
- Clasp products with attachment. The lock of the prosthesis is hidden inside it and consists of two elements, one of which is attached to the artificial crown, and the second - directly on the tooth of the structure.
- Prostheses with telescopic type crowns.
Clasp dentures can be made from different materials - metal, plastic and metal-ceramics. This makes it possible to choose the best option for different and most complex cases. Clasp-type structures have both pros and cons, which must be studied before making the final decision to install just such a prosthesis. The advantages include the affordability of clasp dentures, aesthetics, no need to remove the product before going to bed, and easy care.
Among the disadvantages of removable clasp dentures, the main one is worth highlighting - the process of adaptation to them is quite lengthy and during it the patient may be bothered by painful sensations. It is also worth considering that the design may be noticeable to prying eyes if prosthetics are performed in the smile area. But as you can see, clasp removable dentures have far fewer disadvantages than advantages, and at the same time, they stay firmly in the oral cavity, ensure proper distribution of the chewing load, and prosthetic constructions can be combined with treatment of teeth and gums.
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Removable dentures without palate
The denture base is made of durable dental alloy, onto which artificial teeth are attached. This product is considered a type of clasp removable dentures, but domestic dentists have also developed “sandwich” dentures, the manufacture of which uses a combination of two materials – acrylic and nylon. Such removable dentures are soft and quite comfortable to use, but at the same time they do not create the necessary and correct distribution of pressure when chewing; the fastening elements of the product look massive and unaesthetic on the teeth.
The gradation of structures is carried out according to the type of fastener:
- Elements in the form of loops. The loops are fixed on the supporting teeth and firmly hold the prosthesis in the installation area.
- Telescopic fastener.
- Attachments. The most reliable and aesthetic option for removable dentures without a palate, but at the same time the most expensive in terms of price.
Care
Cleaning a removable denture is not much different from cleaning natural teeth. Although it has its own characteristics.
After each meal, it is recommended to rinse them thoroughly with water. This will prevent bacteria and infection from entering the gums.
It is better to clean it with professional products suitable for its material. If the structure is completely removable, it is recommended to leave it in a disinfectant solution before going to bed.
Periodically check the denture for cracks and chips. If any damage is found, consult a doctor immediately.
For preventive purposes, it is important to visit the dentist at least once every six months. The specialist will conduct a professional examination, check the condition of the jaw and gum tissue, and also clean the dental bridge from contamination.
Review of the advantages and disadvantages of palateless dentures
The main advantage of removable dentures without a palate is the convenience and safety of the design for the patient. After the restoration procedure, the patient quickly gets used to the installed prosthesis, normal diction is maintained, and there is no unpleasant sensation of strong pressure on the soft tissues of the oral cavity. A removable denture without a palate will ensure optimal distribution of the chewing load and this will reduce the risk of rapid bone tissue atrophy.
There are also disadvantages to removable dentures without a palate. For example, high price. The service for prosthetics with an innovative system will cost more than the installation of plastic or nylon prostheses. It is also worth knowing that for prosthetics with removable dentures without a palate, the presence of supporting teeth is mandatory.
Indications for use
As a rule, complete removable dentures are indicated for defects in a number of teeth, such as complete loss of chewing teeth. In addition, the pathological condition of the periodontium may be an indication. Severe periodontitis requires the installation of such structures; this will be the best solution for patients with this disease. The choice of the type of prosthesis depends on the specific case; the decision is made by the doctor together with the patient, based on a thorough examination of the oral cavity.
Removable dental prosthetics systems on implants
The opinion of professionals is clear: implant prosthetics is the most modern and reliable solution, both for complete and partial edentia. The result of restoration using implants will not only be as durable as possible, but at the same time aesthetically pleasing and comfortable for the patient.
The procedure for installing removable dentures on implants is a long process and consists of several main stages:
- At the beginning of the restoration process, the oral cavity is prepared for subsequent manipulations. A thorough sanitation of the mouth is performed, and all dental diseases detected during the initial examination are treated.
- Next, the implant is implanted, after which a break is taken in the treatment, which is necessary for adaptation and healing of the damage.
- Crowns are installed and secured.
Removable dentures on implants can be made from different materials, the most budget-friendly of which are acrylic and ceramics. However, the cheaper the material, the more often the prosthesis will have to be changed, while products made from expensive industrial raw materials can last 10 years or more. Removable dentures on implants come in different types and differ both in the type of fasteners and in design - you can order both a single denture and a solid one.
Solid removable dentures on implants can be fixed in the patient’s mouth using different methods:
- Using ball-shaped fasteners. This fixation method is justified when only a few implants are required.
- Using beam fasteners. This installation method is optimal when securing a removable solid denture.
Another method of attaching a removable denture to implants is screw. The use of technology allows for high-quality restoration of the entire dentition, eliminating the need to install an implant on each unit - four implants will be enough to create reliable support for a removable denture. The advantages of the screw fastening method include the precision of fit of the structure on the implant, which ensures optimal distribution of pressure that occurs when chewing food.
Sometimes removable dentures on implants are called conditionally removable. This is explained by the fact that the fixation of the product in the oral cavity will be as strong as possible thanks to the locking system of the design. Such a prosthesis will not fall out when talking or eating and will look aesthetically pleasing and natural. However, the patient can, if necessary, remove the prosthesis at any time.
Prices for restoration with removable dentures on implants are quite high and they depend not only on the pricing policy of a particular dentistry. The full cost of the service will include the cost of preparing for implantation, manufacturing a removable denture, and the price of a specific design from a specific manufacturer. The choice of prosthetic technology will also affect the price of the procedure. But the costs in this case are fully compensated by the excellent and long-lasting results of restoration with removable dentures on implants.
There are a number of contraindications to prosthetics with removable dentures on implants, which you can find out about during a consultation with our dentistry specialists in Moscow - Vanstom. To make an appointment, just call us! We will offer you a full range of removable prosthetics services for complete or partial edentia and pleasant, affordable prices!
Preparation for prosthetics
An important role in the manufacture of high-quality, comfortable designs is played by preparing the patient for prosthetics. The doctor conducts a detailed examination of the oral cavity, identifies individual structural features of the maxillofacial apparatus, and determines the characteristic features of the jaws. At this stage, the material for creating the future structure, the optimal shape, size and color of artificial teeth are selected.
Individual spoons are used. The composition of the mass for impressions is also selected personally. Based on the casts, a model of the jaws is made.
The finished product is made from wax or plaster models. This is quite painstaking work and is carried out using special equipment. In this case, it is important to clearly maintain the distance between the teeth, the depth of their fixation, inclination and many other parameters.
When trying on dentures, the dentist identifies possible nuances that prevent a tight fit. All comments are sent to the laboratory, where a dental technician adjusts the design.
Questions and answers
Are there any contraindications to fixed prosthetics supported by implants?
Absolute contraindications include:
- chronic heart failure, angina pectoris, arterial hypertension;
- diseases of the blood and hematopoietic system;
- oncology (cancer, sarcoma);
- pathologies of the immune system.
Relative contraindications in which surgery is postponed include:
- poor oral health;
- presence of dental diseases (gingivitis, pulpitis, periodontitis);
- malocclusion;
- diseases of the temporomandibular joint, etc.
What material do you use to install a permanent fixed prosthesis?
For total prosthetics of an edentulous upper or lower jaw supported by implants, we install a permanent bridge with crowns made of zirconium dioxide - the most durable and aesthetic material in modern dental orthopedics.
How to care for a fixed overdenture on implants?
- Be sure to purchase a new toothbrush with a soft or ultra soft hardness level. Start brushing her new teeth only after three days from the date of surgery. It is better to use a herbal paste to prevent gum inflammation.
- To clean the interdental spaces and the space between the denture and the gum (a toothbrush cannot get there), use an irrigator, but only from the 3rd week after installation of the implants. You should start with the initial speed, gradually increasing it.
- Use a mouthwash after every meal. They fight bacteria in the mouth and freshen breath.
- Visit your dentist once every six months for a preventive examination and professional oral hygiene (cleaning your teeth from plaque and tartar).
Is complete prosthetics of the upper jaw different from the treatment of an edentulous lower jaw?
The peculiarity of the upper jaw is that it receives less chewing load and is therefore inferior in density to the lower jaw. Its structure is looser and more susceptible to resorption. For her rehabilitation, the “All-on-six” method is indicated. A larger number of supports is necessary to ensure reliable fixation of the complete bridge.
For the treatment of total adentia of the lower jaw, in most clinical cases, the “All-on-4” concept is optimal, since four are quite enough to support the orthopedic structure.
It is important to know that dental implants take root faster in the lower jaw - in 2-3 months. On the top it is slower - in 5-6 months.
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.
Structural materials in prosthetics
A modern dentist has a sufficient amount of materials for making dentures in his arsenal.
In modern prosthetics, materials such as: Plastic are used. Used for the manufacture of temporary crowns, and removable acrylic and nylon structures. Plastic products do not last long, so they will need to be replaced after a while.
Metal. Gold-containing and cobalt-chromium alloys are widely used. Metal crown frames and clasp dentures are very common.
Zirconium. Zirconium oxide and dioxide are ideal materials for restoring dentition in the chewing area. The ceramic coating of zirconium crowns gives the product a natural shine.
Ceramics. This material is valued for its properties that are as close as possible to natural tooth enamel. For ceramic products, you can easily choose the desired shade. The main disadvantage of ceramics was previously considered to be low strength, but with the beginning of the use of sodium disilicate in prosthetics, this parameter improved. A good example of the use of ceramics is E-Max crowns.
Which dental prosthetics is better and cheaper is a question that only his attending physician can answer for each patient. Much depends on the location of installation - anterior or chewing teeth, the level of qualifications of the specialist and the nuances of a specific clinical situation.