Removable dentures: what they are, how to choose and how much they cost

• Peculiarities
• Kinds
• Lamellar
• Sandwich dentures
• Quadrotti
• Clasp
• Fixed
• Prosthetics or implantation?
• Manufacturing
• Prices
• Work examples
• Doctors
• Reviews

An upper denture is used in cases of partial absence of teeth or complete edentia in the upper jaw. This method of restoration in Moscow RUTT dentistry will return the patient’s smile and self-confidence in a difficult situation for him. Together with a clinic specialist, you can choose the type of structure and material for prosthetics of the upper teeth that is suitable for the price.

• When used:
  complete or partial absence of teeth in the upper jaw
• Type of anesthesia:
  local anesthesia
• Installation time:
  from 1 day
• Materials:
  metal, ceramics, zirconium dioxide, acrylic, nylon, etc.
• Features:
  step-by-step treatment possible
• Age restrictions:
  18 years and older

Why is it important to get dentures when missing teeth?

Every qualified dentist will tell you that you can’t walk around for long with missing teeth. Prosthetics of the upper jaw, as well as the lower one, must be carried out in a timely manner. Let’s highlight some points on what this affects:

• the first thing is aesthetics when smiling and talking. But this is a purely individual question. Some people are willing to put up with it;
• change in facial features - the upper lip looks strange, in the absence of front teeth, and in the absence of lateral teeth, the cheeks sag, nasolabial wrinkles become wrinkled;
• speech defects appear;
• there is no necessary load on the jaw, which leads to a poor supply of nutrients in this area. Bone is a living matter; if there is insufficient or no load, it can atrophy - the volume will begin to decrease, the density will change. For example, an implant cannot be inserted into such a bone without prior osteoplasty (bone augmentation surgery);
• neighboring teeth shift towards the voids, gaps appear, the rows become curvature, and the bite changes. And, if a person later decides to have prosthetic teeth in the upper jaw, he will first have to work with an orthopedic dentist to return the shifted teeth to their place.

Tooth displacement

Pak Roman Vladimirovich Dentist-orthopedist, doctor of the highest category

Is it possible to install a bridge that will restore 3 teeth in the upper jaw? What material?

Restoring such “extended” areas is a controversial issue; in many cases, implantation is more preferable. Only a doctor can answer the question more accurately after a visual examination and the necessary diagnostics.

Pak Roman Vladimirovich Dentist-orthopedist, doctor of the highest category

I want to restore the chewing teeth of the upper jaw with the help of a bridge. Which option is the cheapest?

The most affordable option for prosthetics of chewing teeth is cobalt-chrome with gold plating.

Crowns and bridges

The crown completely covers the tooth and allows you not only to reliably strengthen it, but also to change the shape, color and size, which is especially important for aesthetic defects.

Bridges It can also be installed on an implant or be part of a bridge.
The materials used for manufacturing are gold, metal alloys, plastic, ceramics, porcelain, zirconium. Metal crowns are more durable, but less aesthetically pleasing, so they are often installed on the side areas. Ceramic, porcelain and zirconium are highly aesthetic. This is important to consider when prosthetizing the anterior sections of the upper jaw .
Bridge structures are used to restore one or more missing teeth and, based on neighboring ones, fill the resulting space. Implants can also serve as support. Advantages: high aesthetics, strength and durability of structures, ease of care, no displacement when chewing or talking, the ability to completely change the appearance of teeth in particular and smiles in general, as well as their restoration in case of significant destruction of the coronal part. The dentist will help you make the right choice based on the situation in the oral cavity, aesthetics and cost acceptable to the patient.

Types of dentures for the upper jaw

The upper denture can be of the following type:

• removable
  - the patient can remove it, remove it and put it back;
• non-removable
  - prosthesis fixed on dental implants;
• conditionally removable
  - removal only in the dentist’s office using special tools.

The doctor may suggest making the upper denture removable.

in case of complete loss of teeth or in the presence of one or more remaining ones. Let's look at the types of removable dentures for the upper teeth. We will dwell on some things in detail, and mention others briefly.

Lamellar dentures

A budget option for upper teeth prosthetics, the price is also not high, as is the convenience. The so-called “false jaws”, which are removed at night. The prosthesis is a plate simulating the sky with teeth. Attached with suction cups. Feature: installation with complete edentia.

Complete removable acrylic denture in a smile

Pros:

• low price;
• fast production and installation;
• load distribution evenly.

Minuses:

• the first days, nausea and a gag reflex are possible from the plate covering the palate;
• violation of diction;
• difficult care;
• injury to soft tissues, their rubbing;
• acrylic can cause allergies;
• insufficient fixation, it is necessary to use special ointments and gels.

Removable types of dentures for the upper jaw differ in material, they can be:

• acrylic
  _ Inexpensive option, but may cause allergies;
• acry-free
  . Hypoallergenic material - improved acrylic plastic, fastenings (clasps) are made of the same material - invisible;
• nylon
  _ Soft, comfortable, aesthetically pleasing, their peculiarity and big disadvantage is that they stretch, quickly become unusable and cause pain when chewing.

A type of removable denture can be called a butterfly denture, which is installed in the absence of 1-2 teeth. Attached to adjacent teeth using petals. Many dentists consider it a temporary measure.

Sandwich prosthesis

A prosthesis is used when there are several supporting teeth that do not need to be ground. Removable design without palate, without arches or plates, which allows you to wear it comfortably without irritating soft tissues. Hard acrylic plastic and flexible polyurethane. Fasteners - telescopic crowns.

Quadrotti prostheses

Made from modern material that does not cause allergies, soft and comfortable plastic. They look natural in the mouth. Perfectly suitable as a prosthesis for the upper front teeth. Aesthetic. There is no overlap across the palate, which is very convenient for the patient.

For partially removable

prosthesis of the upper teeth requires the presence of one or more teeth acting as support. In addition, these must be strong and strong elements, because the upper denture will be attached to them.

Clasp dentures

On a reinforced metal frame there is a pink nylon or acrylic base under the gum with artificial teeth. When replacing the upper jaw with prosthetics, a thin metal arch runs across the palate (there are models without it). The structure is attached to the supporting teeth in two ways:

• with the help of clasps
  covering the supporting teeth. When you smile, you can see them;
• using attachment
  locks. Some stand on the base, while others directly on the crown. Such fastenings are completely invisible;
• telescopic crowns
  are rarely used. The supporting teeth are prepared (sometimes not), and crowns with a prosthesis are attached to them. Those. they are both crowns and attachment points.

Pros:

• reliable fixation;
• does not block the palate - much more comfortable than an acrylic prosthesis with a full imitation of the palate;
• increased strength.

Minuses:

• not suitable for completely edentulous patients; support teeth are needed;
• metallic taste and changes in the taste of food;
• They are not placed in the absence of distant, outer teeth.

Pros and cons of partial dentures

Partial dentures have a number of pros and cons. This is an ideal option for temporary prosthetics. However, if implantation is possible, you definitely do not need a removable denture. In any case, it doesn't hurt to know which partial dentures are best. Elastic (but not too soft) designs made from hypoallergenic materials are considered to be of the highest quality. In case of partial absence of teeth, removable laminar dentures made of nylon and acrylic-free plastic are the optimal solution.

• Low price.
• Acceptable functionality and aesthetics.
• Fast production.
• Easy hygiene.

• They do not load the bone, which is why the bone tissue decreases.
• Fragility and fragility (the circuit prosthesis lasts a maximum of 5 years).
• Difficulty getting used to it.

Fixed dentures for upper teeth

Sometimes in dentistry they are called conditionally removable. This is a complete All-on-4 (all on four) or All-on-6 (all on six) dentures in the absence of all teeth. Where the structure is supported by 4 or 6 implants, respectively. All-on-6 is considered more reliable, since the load is distributed over 6 support points. Fixation is somewhat similar to clasp with a locking fastening, only instead of crowns they cling to the supragingival part of the implants. The microlock is of beam type and push-button type.

Example of ROOTT implantation in the before-after photo

With complete edentia and bone atrophy, prosthetics of the upper teeth on implants may be the only way out.

Indications for removable prosthetics

Removable dentures are installed when:

• the absence of several teeth in the dentition and the impossibility of fixed prosthetics;
• the patient’s refusal of fixed prosthetics;
• complete loss of teeth - adentia;
• loss of a large number of teeth (immediate denture);
• loss of one tooth (aesthetic prosthesis);
• for infectious-inflammatory and degenerative-dystrophic diseases of periodontal tissues (periodontitis or periodontal disease);
• severe general diseases that are contraindications for fixed prosthetics;
• individual intolerance to metal structures.

Removable dentures will be an ideal option if you lose several lateral teeth in a row on both sides or if you lose central teeth while keeping the lateral ones. This type of prosthetics is also very suitable for edentulous patients, if the patient refuses implantation.

Manufacturing of removable dentures

The main steps in the manufacture of upper removable dentures are as follows. They may vary slightly depending on the type and material chosen, but we will consider the removable option:

1. an impression is taken, on the basis of which a wax model of the jaw is made;
2. a plaster prosthesis is cast in the articulator;
3. fitting takes place in the patient’s mouth;
4. in the laboratory, the technician makes the final version - a metal frame with bases and crowns made of the selected material and color;
5. fitting, fitting in the office, fixation. On average, the work takes up to 2 weeks.

Article Expert

Pak Roman Vladimirovich Dentist-orthopedist, doctor of the highest category

Work experience: more than 30 years

What is important to pay attention to!

The most important part of the clasp prosthesis is its metal frame with a fixation system built into it. Initially, the frames of clasp dentures were made only by casting, for which a cobalt-chromium alloy (CCH) was used. Nowadays, the method of one-piece casting on a refractory model is still widely used, but more modern methods have now appeared that make it possible to increase the accuracy of the manufacture of this prosthesis in the dental laboratory.

For example, frames can be made using the modern method of “selective laser melting”, not only from CCS, but also from titanium. The use of titanium made it possible to both increase the strength of the metal frame (titanium is 5 times stronger than KHS) and reduce the weight of the clasp prosthesis by approximately 2 times. Reducing the weight of the prosthesis greatly facilitates getting used to it. Another modern method of manufacturing a metal frame for partial dentures, as well as caps for telescopic crowns, is milling on a computer-controlled machine (CAD/CAM technology).

You need to find out which method will be used to make your particular prosthesis during your initial consultation with your dentist. As a rule, small clinics that have their own dental laboratory do not have special milling equipment and a machine for selective laser melting (due to their high cost). We hope that our article: Clasp dentures reviews, price – was useful to you!

Sources:

1. Personal experience as a dentist, 2. “Orthopedic dentistry. Textbook" (Trezubov V.N.), 3. National Library of Medicine (USA), 4. https://www.realself.com/, 5. "Removable dentures: a textbook" (Mironova M.L.), 6 "Teeth restoration with clasp dentures (Fadeev R.A.).

Advantages of the RUTT clinic and cost

At ROOTT clinics in Moscow, located at Butyrskaya and Proletarskaya metro stations, you will receive:

• full objective consultation on prosthetic methods;
• guarantee for all types of dentures for the upper jaw installed by us;
• comfortable restoration of chewing or frontal rows.

The cost of restoration depends on the specific clinical case: the number of missing teeth, the chosen design, material and work of specialists. You can find out more about the cost of an upper jaw denture by phone or at a free consultation with a specialist.

How to care for your prosthesis

Clasp dentures require regular care to extend their service life. The dentist explains the wearing rules after installing the structure. There are 5 main recommendations for patients:

• undergo regular preventive examinations with a doctor once a year;
• reduce the presence of solid foods in the diet (crackers, seeds, cornflakes, etc.);
• thoroughly clean dentures and teeth after each meal or at least rinse your mouth;
• use not only a brush, but also a specialized mouthwash, dental floss, and it is best to clean dentures with an irrigator;
• Carefully clean the place where the dentures are fixed to avoid the accumulation of bacteria in the gaps.

These rules do not create inconvenience for everyday life, so most patients find dentures comfortable.

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Indications and contraindications

Any medical procedure has contraindications and indications for its implementation. Installation of clasp dentures is no exception.

When experts recommend clasp

Installation of clasp dentures is indicated for patients with the absence of three or more teeth. In this case, there must be supporting parts for which the structure will be fixed. They use healthy teeth or artificial crowns. Most often, the installation of clasp dentures is recommended when it is not possible to install permanent structures.

Contraindications for prosthetics

Clasp dentures cannot be installed in patients with complete loss of teeth, since support is required for fixation. Fastening is also impossible with small crown sizes.

Removable clasp structures are not installed in case of malocclusion pathologies. This type of prosthesis is also contraindicated if you are allergic to metals.

Which is better to choose?

Sergey Sergeevich Chepikov, a dentist at the 32 Dent clinic, recommends: “First of all, it is important to choose the right dental clinic where prosthetics will be performed. You definitely need to pay attention to whether the clinic has its own dental laboratory. Close interaction between the doctor and the dental technician ensures high accuracy and comfort of the finished prosthesis; moreover, production in one’s laboratory will be faster and cheaper for the patient. If a clinic does not have a laboratory, it is forced to transfer orders for the manufacture of structures to third-party institutions, which increases the cost of the prosthesis, increases the time for its production and can negatively affect the quality.”

When choosing a removable denture, you should focus primarily on the condition of the oral cavity (partial or complete absence of teeth, the condition of the gums), and you also need to take into account which jaw it is intended to be installed on. For partial edentia, the best solution would be a clasp; for complete edentia, a removable structure on implants.

The material of manufacture is also important: nylon is more aesthetically pleasing, flexible, comfortable, less traumatic for the gums, but acrylic is better able to cope with chewing food. In any case, it is better to make the choice together with the dentist, who is better versed in the clinical situation in the patient’s mouth and the features of a particular design.

At the 32 Dent clinic, patients will always be offered the best option for prosthetics at an affordable price and with the most accurate and high-quality installation of removable dentures. Our own laboratory, the latest equipment, high-quality materials, experienced dental technicians and competent doctors are the key to successful dental restoration for each patient. In addition, 32 Dent offers the best price for removable dentures in Moscow, while their quality remains at the highest level.

“32 Dent” provides its patients with a 1-year warranty on removable dentures. In general, the service life of structures with proper care is quite long - up to 10 years.