Why do you need dental prosthetics?
Dental prosthetics are indicated primarily for patients that:
- are missing teeth
- have endodontically treated teeth (i.e. treated root canals)
- have very severely damaged crown part of the tooth
- have unsatisfactory aesthetics
In " Verbitsky Dentistry " we use removable and non-removable types of dental prosthetics for complete restoration of teeth.
Types of dentures and their selection criteria
Removable dentures are orthopedic structures that the patient can use in case of partial or complete loss of teeth. They are made in the dental laboratory specifically for the patient, taking into account the characteristics of his oral cavity.
Advantages of removable dentures:
Dental prosthetics are indicated primarily for patients look for:
- good cost - removable dentures are much cheaper
- speed of denture production
- speed of installation of dentures
Removable dentures have a number of disadvantages - they require regular care, are difficult to fix on the lower jaw and when used for the first time have the ability to rub the gums a little.
Types of removable dentures that we use in our dentistry
Types of dentures based on bracing:
- Partially removable dentures are attached with braces, attachments or "pilots", so they can be installed only on the jaw, which still has a few healthy teeth.
- Conventionally removable dentures are fixed with screws or on dental cement. This type of construction the patient can't remove independently, only in a dental chair. Of the features: when you need a removable denture for one tooth - this is the only correct option.
- Fully removable dentures are fixed with suction cups or applied with glue. They are very easy to remove and install yourself.
Types of dentures based on materials:
- Immediate dentures. These are temporary structures that are used to replace one tooth (or several) in the human mouth for the period of the necessary manipulations for the manufacture and preparation of a permanent denture. An example of such a design is a prosthesis called a "butterfly". It is designed to restore aesthetics at the site of loss of one tooth. The period of wearing the immediate prosthesis is several months. Such a prosthesis should be regularly removed from the mouth for hygienic procedures, the masticatory load on such a structure should be minimal.
- Removable partial plate structures. Such dentures (by analogy with a removable structure made of acrylic plastic, replace all teeth) are attached to the human mouth on the basis of creating a vacuum effect. They are not very flexible and the first time can rub the gums.
- Nylon based removable dentures. Removable structures of this plan are elastic and cause less discomfort than tooth-replacing elements made of plastic. Patients who use this type of denture may not remove the structure from the mouth at night. But nylon dentures, due to their excessive softness and elasticity, accelerate the process of bone atrophy.
- Clasp dentures. Removable elements, the design of which is based on a metal arc. Such dentures are securely attached to adjacent teeth with hooks (clasps) or locks (attachments). One part of the locking element of removable structures with attachments is located on the denture itself, and the other one is attached to the inner side of the abutment tooth. Therefore, models of such dentures look aesthetically pleasing. The clasp has a smaller area, is securely fixed in the mouth, its validity is 7-10 years.
When choosing a removable denture to restore dental function, you should consider all of the above options and weigh all the pros and cons.
Basic caring rules for removable dentures:
- After eating, the denture must be removed from the mouth and rinsed under running water, the mouth is rinsed thoroughly.
- Removable construction requires daily treatment with disinfectants
- Patients with dentures are not recommended to eat solid and viscous food, excessively use chewing gum.
- Do not expose a design to mechanical influence, protect from hits and falls.
Non-removable dentures - these include all types of structures that are fixed by a dentist.
Modern methods of fixed dentures, which we use in our dentistry, can practically solve almost any problem for the patient in the absence of teeth. Our specialists are regularly trained by leading world and European specialists and use this experience in the clinic.
Types of fixed dentures:
- Crowns are a type of non-removable dentures that are used to eliminate the defect of the absence of one or more teeth. The main types of crowns are metal-ceramic (PFM), all-porcelain and ceramic crowns with zirconium oxide. They differ in cost, materials and are used by orthopedic dentists individually given the peculiarities of the installation. For example, metal-ceramic crowns are cheaper, but there is a risk of negative gum reaction to the crown and the need to remove the nerve.
- Bridge dentures are a type of fixed dentures, used in modern dentistry on implants. A convenient way to restore teeth in the absence of 2-6 teeth. Bridges are installed on 2-3 implants.
- Tabs - a non-removable type of dentures, which can be used to restore a partially lost part of the tooth.
- Implants are a modern type of "turnkey" tooth restoration using titanium screws, which allow you to restore the absence of one, several or all teeth. Complete prosthetics on implants are performed in our dentistry based on international protocols of operations All on 4 and All on 6.
- Veneers - one of the types of dental prosthetics. They are thin ceramic plates that are made in the laboratory. When processing front teeth for veneers, the orthopedist removes a small amount of hard tissue (up to 2 mm). Before the treatment of teeth directly for the veneers, the doctor, technician and patient determine the future shape of the teeth, "trying on" wax or plastic veneers (mock-up).
- Lumineers are a brand of veneers that were created in the United States in order not to grind the teeth of patients to eliminate cosmetic defects in the smile zone.
How to choose the type of dentures?
It is very important to carefully examine the oral cavity, as well as with the help of computed tomography to choose the right treatment plan for you in terms of functional and aesthetic rehabilitation. In our "Verbitsky Dentistry" we offer several treatment plans, and the patient chooses the most optimal for him.
Is there a need to remove a nerve during teeth prosthetic procedure?
The nerve of a healthy tooth does not always need to be removed if it is not required, for example, at small preparation of tissues of a tooth. In any case, we try to keep all healthy teeth during prosthetic operations.
How often do you need to change dentures?
Removable dentures are recommended to be changed every 4 years, but non-removable ones depend on the type of prosthesis - they are mainly changed according to the standard, that is, every 10 years. However, with proper care and professional hygiene, the term of their use can last almost a lifetime.
How long will it take to get used to dentures?
Patients get used to removable prostheses from 2 to 3 months, but to non-removable ones, almost in the first 7 to 14 days.
And what happens if the lost teeth cannot be restored?
There are usually several risks here.
The first risk is an increase in the likelihood of gastrointestinal disease. Since food will get into the stomach poorly chewed, this will eventually lead to a disease.
The second risk is the loss of other teeth due to their displacement on the side of the lost tooth which eventually leads to their decomposition.
The third risk is inflammation of the maxillofacial joint with impaired occlusion and speech.
The fourth risk is premature aging of the face.