Complete removable prosthetics. average anatomical setting of teeth mas

• Complete removable dentures in Moscow
• Indications for use
• Types of removable dentures in complete absence of teeth
• Plate dentures for the entire jaw
• Removable dentures made of soft plastic
• Acrylic dentures for all teeth
• Removable nylon dentures
• Complete removable silicone dentures
• Clasp dentures for the entire jaw
• Pros and cons of complete dentures
• Preparation for prosthetics
• Manufacturing of complete removable dentures
• Fixation
• Care of complete dentures
• Complete removable dentures price

If we look at official statistics, almost half of the residents of our country by the age of 65 are faced with the problem of complete loss of teeth. In medical practice, this phenomenon is called adentia. This situation should not be ignored, since edentia is not just an aesthetic defect that can cause psychological discomfort in the patient and affect self-esteem. Losing teeth is dangerous because it triggers a series of more serious health problems: the process of grinding food worsens, which leads to dysfunction of the digestive organs, impairs intestinal function, and as a result, the functioning of all internal organs is disrupted.

The most progressive methods of restoring lost teeth are prosthetics on implants or the use of removable structures. Despite all the visible advantages of implantation, this method also has significant disadvantages. It may not be suitable for patients because it requires surgery, which may be contraindicated. And the second significant point is the high cost of all manipulations. An alternative, universal and suitable method of prosthetics for completely edentulous patients is the production and installation of removable orthopedic dental structures.

Removable dentures are distinguished by the fact that they can be removed and put on independently, at any time, without the involvement of specialists. There are two types of these structures:

• partially removable dentures;
• complete removable dentures.

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.

What dentures are the best and most comfortable?

Each prosthetic structure has specific characteristics that determine its scope of application.

For upper teeth

The incisors and canines experience less stress compared to the chewing teeth, and they are also within sight. For their prosthetics, the optimal types of fixed prostheses are crowns, adhesive bridges made of zirconium dioxide, glass-ceramics, and metal-ceramics. Molars and premolars are practically invisible, so it is advisable to install durable, inexpensive metal or combined dentures instead. For minor defects, veneers and lumineers are placed in front, and inlays are placed in the back.

Crowns on front teeth

For the bottom

The lower front teeth, like the upper ones, are also located in the smile zone, so fixed structures for them should be as aesthetic as possible. You can save a little on unobtrusive chewing dental units, so the recommendations are the same as in the previous paragraph.

With partial absence of teeth

In such cases, single defects are corrected with cantilever or adhesive bridges. You can also install immediate dentures during a two-stage implantation process. Severe edentia requires the installation of high-quality clasp dentures; you can also try a removable sandwich.

With complete edentia

Most often, inexpensive plate structures are used, but they deform the gums, do not hold well, and cause discomfort. The optimal solution in this case is complete dental implantation.

For temporary prosthetics

In such cases, immediate prostheses are usually used. Cantilever structures can also be used as non-permanent ones.

For children

Which dental prosthetics will be best for a child depends on the specific situation. Typically, children need butterfly dentures during the period of changing teeth to correct the dentition.

Types of removable dentures in complete absence of teeth

If there are no teeth left, the choice of design is significantly limited. Modern medicine offers the installation of prostheses on implants - this is the most reliable and most aesthetic method, but it is not available to everyone due to its high cost and indications. In this case, plate dentures remain - they are suitable for people of any age, if there are no allergic manifestations to the material used to create them. In the absence of teeth, all structures are similar in structure, but can be made of different materials. Let's decide what the pros and cons of different options are.

Plate dentures

Plate dentures, as the name implies, are a plate of different sizes. It acts as the basis of the structure, its basis. Fixing elements and artificial teeth are attached to it. Previously, such dentures were made exclusively from hard materials, but today dental technicians have a wider choice. This allows you to select products individually for patients, based on their needs and financial capabilities. But here it is necessary to remember that the material affects not only the comfort of wearing a denture, but also its service life.

Soft plastic dentures

Thus, acrylic products are considered the most durable. But since they are not always comfortable to wear, the formula of the material has been refined and improved. Complete removable dentures made of soft plastic were born. They are a combination of acrylic with the addition of additional components (for example, diamond chips). Their service life is very impressive, but due to their more plastic structure, they do not injure the gums, do not rub, and provide a tight fit.

Acrylic dentures

This type of prosthesis is the most popular - it is characterized by low price, aesthetics and ease of use. It consists of a base that covers the alveolar process and the body of the jaw, and artificial teeth attached to it. Before installing such a prosthesis, as in other cases, the oral cavity is first prepared for prosthetics, loose teeth are removed and the mucous membrane is treated, and then an impression of the jaws is made. Based on the impression, a primary model is created in the laboratory, which is adjusted and corrected after fitting. Acrylic or plastic prosthesis has the following advantages:

• an affordable way to completely restore teeth;
• ease of use;
• durability (7-9 years with proper care);
• uniform distribution of chewing load;
• quick adaptation period;
• lightness of the material, comfort of use;
• aesthetics and the ability to create a prosthesis that perfectly matches the color of natural gums;
• possibility of repair and correction;
• quick installation.

However, in order to decide which prosthesis is best to choose, you should know not only the advantages, but also the disadvantages of each type of design. For acrylic dentures, this is the possibility of an allergic reaction to the material, trauma to soft tissues during use, bad breath (acrylic is a porous material, bacteria can multiply in it), partial loss of taste, increased gag reflex, temporary impairment of diction and frequent need for correction. Most of these negative effects go away as you get used to the prosthesis, but some you have to put up with. To complete the adaptation period as quickly as possible, do not remove the denture at night.

Nylon dentures

The products are made from pink nylon, which is elastic and durable. They are similar to plate acrylic dentures, but differ from them in some parameters. This design perfectly imitates the gum and part of the alveolar process, it holds well and is suitable for sports enthusiasts. Such dentures are not removed at night even after the end of the adjustment period. A nylon prosthesis has the following advantages:

• hypoallergenic;
• high aesthetics;
• reliable fixation;
• low porosity, and, as a result, the absence of bad breath even after long-term use;
• flexibility, elasticity, comfortable use;
• durability (about 5 years);
• rare percentage of breakdowns.

The disadvantages of this type include the need for care of the prosthesis with the help of special means, the inability to repair in case of breakage, possible bone atrophy and mucosal injuries with prolonged use, uneven distribution of the chewing load (the flexible frame prevents this), the need for frequent correction and relatively high price.

In case of complete absence of teeth, implants are used to better fix the structure, and a metal arch is often used, which enhances the strength of the base. Thus, nyl dentures resemble dentures with a metal base and become even more durable.

Silicone prostheses

They are similar to nylon, but very different from them. Silicone is translucent; artificial – most often plastic – teeth are attached to a base made of it. Silicone dentures, as a rule, are used as temporary ones, because large gaps form between the teeth over time, and the service life of the structure is no more than two years, and it is rarely used for complete dentures. Their advantages:

• natural appearance;
• no allergic reaction;
• lightness and compactness;
• good fixation;
• softness of the material.

With prolonged use of the structure, atrophy of the alveolar bone and subsidence of the gums are possible, which is its significant drawback. In addition, they provide poor distribution of the chewing load and are difficult to maintain.

Clasp dentures

Clasp-type structures are practically not used in cases of complete edentia, since for strong fixation it will be necessary to create supporting surfaces. This requires additional time and financial expenses.

New generation dentures without palate –

The Sandwich denture, developed by one of the Moscow dentists, is positioned in advertising as a new generation of removable dentures without a palate. It was quite interesting for us to study this type of prosthesis, which is a combination of different elements of different types of removable dentures and, in its own way, is truly unique in some way.

Sandwich dentures are used only in cases of partial absence of teeth. It got its name due to the combination in the body of the prosthesis of 2 different layers of materials (having practically opposite properties) - hard acrylic plastic and elastic polyurethane.

The body (base) of the prosthesis itself consists of hard pink acrylic plastic into which artificial teeth are inserted. However, in those areas where the patient still has his own teeth, the prosthesis has something like “telescopic” crowns made of soft elastic material (in the picture they are located on both sides at the end of the prosthesis). These crowns are, as it were, stretched over the remaining teeth and provide fixation of the prosthesis.

There is a patent for the invention for new generation dentures without a palate. Essentially, this is a removable denture made of acrylic plastic, in which the base is greatly reduced, and instead of metal wire clasps, telescopic crowns made of polyurethane are used (similar to the telescopic crowns of a clasp denture).

New generation removable dentures: cost

For new generation dentures without a palate, the price will be from 40,000 rubles. The cost may be higher if more expensive sets of artificial teeth are used or the number of supporting teeth is increased, which complicates the production of the prosthesis.

New generation dentures: who are they suitable for?

Let's start with the fact that these dentures are not the only dentures without a palate. Removable clasp-type dentures also do not have a massive base, and therefore practically do not cover either the palate on the upper jaw or the sublingual space on the lower jaw. Moreover, the fixation of clasp dentures, as well as their chewing efficiency, is three orders of magnitude better.

In fact, this prosthesis can only be suitable for those who have only a few chewing teeth left on both sides of the upper or lower jaw. Considering that polyurethane crowns (about 1-1.5 mm thick) are also stretched over the natural crowns of the teeth, the teeth in these sections will look very bulky and unsightly, which is critical if the remaining teeth fall into the smile line.

Important: what you should be prepared for is

• Even with the best types of removable dentures (clasp with micro-locks), the chewing load is distributed approximately 50/50 on the gums and on the supporting teeth. Considering that a sandwich prosthesis has “telescopic” crowns made of elastic material, which, due to elasticity, are simply not capable of transmitting chewing pressure to the remaining teeth - all the chewing pressure will go to the hard plastic base of the prosthesis.

• The manufacturer claims an extremely small base for the prosthesis. But the smaller the base area, the greater the chewing load falls on the remaining tissues of the prosthetic bed. This means that with the prosthesis shown in the figure above it will simply be impossible to chew anything. Chewing will be painful, of course, if you are not going to eat only semolina porridge from now on.

• Fixation of such a prosthesis in the anterior section will be practically absent, because fixation can be provided either by a clasp or a prosthesis base. And these so-called removable dentures of the new generation have neither clasps nor a volumetric base on both sides of the alveolar process of the jaw (like dentures made of plastic and nylon).

Conclusions: the cost of removable dentures of the new generation is quite high, and in our opinion, for that kind of money, it is better to give preference to a clasp denture (the cost of which is equivalent). In addition, if you have an increased gag reflex, then clasp dentures are no less compact in the oral cavity than a Sandwich denture, and their chewing efficiency is much higher.

Pros and cons of complete dentures

Such designs are very popular; they have many advantages, including:

• Strength and elasticity . Prostheses are comfortable to wear, suitable for patients of all ages and safe. They are made according to an individual impression.
• High aesthetics . It is possible to choose the shape and color of teeth and gums as close as possible to natural ones. All this is selected on an individual basis.
• Easy to care for . Such structures are easy to care for; sometimes you just need to rinse them in running water.

The disadvantages include the following features:

• relatively long adaptation period;
• insufficiently stable fastening;
• feeling of discomfort when laughing, coughing or eating;
• not very long service life;
• food restrictions;
• violation of speech functions;
• the need for preventive regular examinations by a doctor.

Plate dentures

Plate dentures are a plate (base), most often made of safe, durable acrylic, to which artificial teeth are attached.
Plate dentures are a plate (base), most often made of safe, durable acrylic, to which artificial teeth are attached. The plate, by analogy with two glasses connected together with water, is suctioned to the hard palate and reliably holds the removable denture in place .

Due to the fact that the area of ​​the plate is large enough, the fastening is reliable: the patient can chew food without fear.

With prosthetics of the lower jaw, the situation is somewhat more complicated due to the fact that there is no hard flat surface for suction. Therefore, alternative methods of prosthetics are often used: using implants, mini-implants, clasp dentures. a “floating” removable prosthesis can be used - in fact, the same lamellar prosthesis, but not fixed by suction.

Plate dentures have a low price. For better fixation, in addition to the plastic suction base, they can be attached to abutment teeth. Plate dentures are durable, aesthetically good, and restore the chewing function of the jaws.

In case of inflammatory diseases and atrophy of the jaw bone tissue, they are often the only way to resolve the issue. In a situation where all teeth are missing, complete removable dentures . In the vast majority of cases, the patient is offered plate prostheses.

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.

There are two significant disadvantages to the clasp prosthesis:

• To install it, you need to have your own (at least several) teeth;
• It is more expensive than its LP counterpart.

However, there is good news for patients of the professor’s clinic: prices for dental and orthopedic services in the clinic are affordable, and consultation with the head physician is free . We offer favorable conditions for prosthetics using modern materials, technologies and equipment.

Date of publication: September 20, 2020 Last update: September 22, 2022 © 2020 Professorial Dentistry “22 Century”. All rights reserved.

Manufacturing of complete removable dentures

The manufacturing process of both acrylic and nylon removable dentures occurs in several stages: taking impressions of the gums, casting a plate, welding teeth to it, and fitting the dentures to the patient’s jaws.

Acrylic dentures are produced by injection molding, and nylon ones are produced by hot injection under pressure. The latter method requires expensive modern equipment and qualified specialists who can work with such equipment. This has an impact on cost, and therefore nylon dentures are much more expensive than acrylic ones.

How does a removable denture work?

Currently, there are several types of removable dentures that have fundamental design differences.
Currently, there are several types of removable dentures that have fundamental design differences. The artificial teeth that make up the prosthesis can be attached both to the hard palate, sticking to it, and to the supporting teeth, if any. Modern dental orthopedics suggests using implants or mini-implants as a support for a prosthesis if all the teeth on the jaw are missing.

teeth or implants are used as support , the prosthesis is fixed to them either using clasps or using locks (attachments). The lock is considered a more modern and advanced device for fixation, but its installation significantly increases the cost of the prosthesis.

In general, clasps are an open ring that fits onto the crown of the abutment tooth. This design securely fixes the prosthesis , does not damage the tooth enamel, but the clasps are visible in a smile. The lock consists of two elements, one of which is attached to the supporting tooth, the second is securely attached to the prosthesis. Fixing the elements together occurs in a similar way to a regular button for clothes. The castle is aesthetically ideal , as it is absolutely invisible when smiling. In addition, the lock is very reliable in operation.

Care and storage

Dentures must be periodically removed from the mouth and cleaned. It's great if you do this every time after eating, but if this is not possible, you can rinse them in the morning and evening. Full dentures can be left in your mouth overnight, but it is best to remove them to give your gums a rest. In this case, before putting it in a special box, you need to thoroughly clean the prosthesis - rinse with boiled water, treat with an antiseptic solution or brush. It is recommended to have it professionally cleaned twice a year.

There is an opinion that the prosthesis should be stored in water or in a special solution. This is not so - a similar method was suitable for rubber prostheses, but modern technologies have made it possible to move away from it. Now it is enough to wrap the prosthesis in a cotton cloth and put it in a special box, where it will be protected from the sun, mechanical damage, heat and chemical influences.

How much do removable silicone dentures cost for partial and complete edentia?

Traditionally, the price of removable silicone dentures in Moscow depends on the level of the clinic, the materials used and the qualifications of the team of orthopedic dentists and dental technicians. An important component of the price is the number of teeth that need to be replaced.

Before planning treatment, the patient should know that the cost of silicone prostheses is generally slightly higher than that of traditional acrylic structures. This is explained by the high cost of the material and the special manufacturing technique. At the same time, the service life of silicone is usually shorter than that of conventional acrylic. When deciding whether to install silicone products, patients are often guided by their convenience rather than by the desire to save money.

If you regularly view the news on our website, you can save significantly on prosthetics. The fact is that the DentaGuard clinic regularly holds promotions for treatment, during which you can get a discount on prosthetics.

Cost of complete removable dentures

The cost of services is determined individually for each patient, since the individual characteristics of the patient’s oral cavity play a key role in the manufacture of structures. Factors such as the anatomical structure of the maxillofacial apparatus, the chosen type of structure, the material of its manufacture and methods of fixation, the shape and color of artificial teeth are taken into account.

Denta Labor dental laboratory produces complete removable dentures of excellent quality. Our laboratory has created all the conditions to produce high-quality prostheses with a long service life. You can check prices for removable dentures by phone +7 (495) 162-08-25.

Promotion! When paying in advance the full cost of making the prosthesis, the cost is reduced by 2000.

Fixed dentures on implants

Classic implantation. This method of restoring teeth in the absence of teeth makes it possible to reproduce functionally and aesthetically natural teeth as closely as possible.

This procedure occurs in 2 stages. During the first stage, implants are installed. The second stage is carried out after about 3 - 6 months - the time for the implants to engraft into the bone. The second stage is the installation of dentures on implants. Single crowns (more expensive) or bridge structures (cheaper) can be used as prostheses. These dentures are similar to conventional ceramic ones; they are simply installed on implants.

The frame material of the structure can be an alloy of chromium and cobalt or the more expensive zirconium dioxide. And for patients with allergies to metals, zirconium dioxide is the only option for implant prosthetics.

The use of such prostheses is comfortable, does not cover the gums and palate, and does not require getting used to. They are also more aesthetically pleasing and do not attract the attention of others.

Advantages: durability, lightness of construction, preservation of taste sensations, absence of a gag reflex, complete uniform chewing, and restoration of dental function by 90%.

The disadvantages are high cost, duration of treatment, and sometimes the need for bone grafting.