Sooner or later, almost all people face the need to have dental prosthetics. Of course, it would be better if such a moment came as late as possible, but if problems with the dentition have arisen, they need to be resolved quickly so as not to cause irreparable harm to one’s own health. What dentures are best to put in if it’s time to “surrender” to the hands of an orthopedic dentist? To make a good choice, you need to know what dentures are in general and in what cases they are usually used.
What types of dentures are there for damaged teeth?
It often happens that the crown part of the tooth begins to collapse, but the root is completely healthy and sits firmly in the gum. In such cases, dentists do not recommend removal, because the root can be preserved and the crown part can be replaced with prosthetics - this is a more gentle and beneficial method for the patient to restore the defect. What dentures are available for such cases? There are several types of so-called microprostheses that will help restore the integrity of the dental crown:
- Tabs.
Simply put, these are large fillings made of ceramic or metal alloys that are made in a laboratory. The inlays exactly repeat the shape of the destroyed part of the crown and can serve as both an independent microprosthesis (restorative inlays) and a support for an artificial crown (stump). - Crowns.
The crown is the part of the tooth that we usually see and on which both the beauty of a smile and the quality of chewing food depend. Dentists install artificial crowns that cover the damaged tooth and completely cover the defects. They are made from metal-free ceramics (excellent aesthetics, good strength), metal ceramics (good strength and aesthetics) and plastic (suitable only for making temporary crowns, because such material is not very durable and stains over time). - Veneers.
For teeth in the “smile zone,” it is possible to install not entire crowns, but thin ceramic overlays on the front surfaces – veneers. They are installed if sufficient volume of the rear wall has been preserved and the microprosthesis can be securely fixed. Veneers are made from ceramics, and recently there are also designs made from zirconium dioxide. The simplest and most inexpensive option is composite veneers, formed from filling material directly on the patient’s teeth.
Orthopedic dentist at the 32 Dent clinic Veronika Aleksandrovna Ivantsova: “Microprostheses are good because they can restore both small defects (mainly veneers and lumineers) and seriously damaged teeth. We recommend our patients to fight for their own teeth to the last and, if possible, to preserve the dental unit - in no case to remove it.”
Which dentures are best to install: choose by cost
The most affordable microprostheses are inlays - they cost from 18,000 rubles. However, it is not always possible to get by with just one tab, so it is advisable for the patient to make a choice, guided not only by savings, but also by the advice of his doctor.
Veneers with lumineers will cost approximately the same - about 20-35 thousand rubles. Crowns differ slightly in price depending on the material: metal-free ceramics will cost about the same as a veneer, metal ceramics will cost 9-17 thousand rubles. Here you should choose according to the degree of destruction of dental tissues: if the defects are minor, you can get by with installing veneers. But in the case where the crown part of the tooth is seriously damaged, the installation of an artificial crown will be required.
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Metal-ceramic bridges
A metal-ceramic dental bridge is highly reliable due to its manufacturing features. They are made by spraying ceramics onto a metal frame, which adds strength to the orthopedic structure. The use of ceramics allows dentures to be as similar as possible to natural teeth. If you are visiting an orthopedist for the first time about dental prosthetics, you need to remember the possibility of an allergic reaction to metal. And this, in turn, is a direct contraindication to the installation of metal-ceramic prostheses. In this case, alternative options are used - ceramics or zirconium.
What types of dental prosthetics exist if only one tooth is missing?
If the destruction is so great that there is nothing left to save, you will still have to resort to removal. So, one tooth had to be removed, and now there is an unsightly empty space in its place. You should not wait for the “neighbors” in the dentition to move into the vacant space, disrupting the bite and interfering with normal chewing of food. It is better to immediately contact an orthopedic dentist, who will select the appropriate way to return the “prodigal” tooth to its place. There are several different ways to do this:
- Implantation.
A method that today is unrivaled in terms of reliability, durability and scope of function restoration. In modern dentistry it is considered simply ideal. If it is possible to carry out implantation, it is better to opt for this method of prosthetics. A titanium “artificial root” is screwed into the jawbone, onto which a crown made of metal-free ceramics or metal-ceramics is then installed. A very reliable and durable method that not only returns aesthetics to the dentition, but also almost completely restores its functions. - Bridge prosthesis.
A dental “bridge” is made of three interconnected crowns: one replaces a missing tooth, and the remaining two are attached to the supporting teeth and play the role of “bearing beams” of the bridge. The advantages of this method are affordable price and reliability, the disadvantages are the need to grind the supporting teeth, as well as the need to remove the entire prosthesis if it breaks. - Adhesive prosthetics .
The method is similar to installing a conventional bridge with support on the teeth adjacent to the defect. But at the same time, turning these “supports” is not required: the doctor will simply make micro-incisions on the tooth enamel, into which he will place a strong fiberglass thread and secure it with the help of composites. A more gentle and faster method of prosthetics than installing a “classical” bridge, but not as durable and reliable (recommended only for front teeth that do not bear the same load as chewing teeth). - CBW prosthetic system with micro-locks
. Here, too, neighboring teeth are used as a support for the prosthetic crown, but they do not have to be ground down. It will be enough to make small holes to fix the micro-locks that will hold the crown. A fairly reliable and quick way to restore a defect, however, dentists consider it not very durable and often recommend using it as a temporary option. - Immediate prosthesis, or “butterfly”.
What could be easier than installing a neat, removable structure with nylon or metal wire fastenings? Such a prosthesis does not scratch the enamel, is quickly installed and removed just as quickly, and does not require grinding of dental tissues. It would seem like a patient’s dream. But in fact, an immediate denture is quite uncomfortable when worn constantly, it is short-lived and is not intended to permanently replace a lost tooth. This is a temporary structure, which is usually installed for the period while a permanent prosthesis is being made.
Comparing prices: which method is more affordable?
The cheapest option is an immediate prosthesis, its cost will be about 2000-5000 rubles. But, as already mentioned, this is a temporary solution: you can wear it for no more than 2-3 months, and then you will need to change it to a permanent structure. An adhesive prosthesis will cost about 6,000-10,000 rubles, which is a very reasonable price for good aesthetics and reliable fixation. However, in terms of durability, adhesive structures are inferior to the same bridges (their price is the sum of the cost of individual crowns; if one crown costs 20-40 thousand rubles, then for a bridge this amount should be multiplied by three). Implantation will cost 20-70 thousand rubles, depending on the type of implant chosen. That is, implantation costs about the same as a good bridge structure, but at the same time it is much more reliable, more durable and does not require grinding of supporting dental units.
How many implants are needed?
Possible options:
- 2 classic (two-piece) implants are implanted along the edges of the defect, after healing they are loaded with a permanent prosthesis of 3 connected crowns (2 “sit” on the implants at the edges, 1 in the middle fills the void);
- 3 classic (two-piece) implants replace missing teeth with individual implants and load them with separate crowns after implantation of artificial roots;
- 3-4 monoblock (one-stage) implants on titanium roots immediately fix an adaptive prosthesis with a titanium arch and three welded crowns.
The choice of the number of implants depends on the location of the defect.
Which teeth are best to insert in case of multiple defects?
If you had to part with several teeth at once, you can restore each of them separately with implantation. To do this, you will have to be patient, because implants need about six months for final engraftment. But the result is worth it: at least for the next 20-30 years, you can forget about prosthetics. If financial capabilities and the condition of the body allow, you can opt for implantation. But there are other options, simpler and less expensive:
- Bridges.
They can restore up to 3-4 missing teeth in a row. - Clasp dentures.
This is one of the varieties of removable structures, which consists of a plastic gum base with crowns attached to it and a metal arch, which is the frame. The clasp is attached to the supporting teeth using hooks (clasps), clasps (attachments) or telescopic crowns. If necessary, it can be easily removed and just as easily installed back. - Removable dentures
. The simplest designs to install, which, however, are inferior in functionality and wearing comfort to both bridge and clasp prostheses. What types of removable dentures are there? They can be nylon - softer and more elastic, or acrylic - tougher, better able to withstand chewing loads. The first ones are more comfortable, the second ones are more functional.
Which dentures are the best in price?
When a patient chooses which dentures are best, they often look for price. You already know the cost of bridge structures, removable ones will cost about 15 thousand rubles, clasp ones - 30-60 thousand rubles with fastenings on clasps or attachments and 60-120 thousand rubles with fastening on telescopic crowns.
What to choose, removable or partially removable dentures – which is better? If you focus only on cost, then the first ones certainly win. But in terms of durability, wearing comfort and functionality, the latter are the leaders.
Installation steps and process
- To make a bridge, it is necessary to prepare the supporting teeth on which it will be fixed. The only exception is the adhesive bridge. The procedure for preparing abutment teeth is painless, but can cause discomfort, and therefore for patients with a low sensitivity threshold it is performed under local anesthesia.
- The orthopedic surgeon then takes impressions and sends them to the prosthetic laboratory, where technicians make a bridge that accurately imitates the patient’s missing teeth. After grinding, temporary crowns are made to protect the teeth from irritation until the permanent orthopedic structure is ready.
- When the finished bridge is transferred from the dental laboratory to the orthopedist, the patient is invited to try it on. If necessary, correction is carried out to achieve the most comfortable fit of the prosthesis.
- If everything suits the patient and the doctor, the fixed prosthesis is fixed to the teeth using special cement.
What teeth to put in if the jaw is completely “empty”?
Unfortunately, it also happens that a person is left completely without teeth on one of the jaws, and sometimes on both at once. What should he do in this case? Of course, you can just come to the dental clinic and ask: “I want to insert teeth - which ones are better? Tell". But it is advisable to understand at least a little about the issue of prosthetics in order to make the best choice. What does dentistry offer for complete edentia? Here are the main ways to restore teeth in this case:
- Complete removable dentures.
Very easy to install structures, which are artificial gums (base) made of acrylic or nylon with crowns fixed on it.When a patient decides to install complete removable dentures, which is better to choose - acrylic or nylon? There is no clear answer here; you need to look at the specific clinical situation and the wishes of the patient himself. In some cases, nylon is preferable, since it looks much better, is more comfortable to wear and can be installed by people in extreme professions (acrylic will not suit them, because due to its rigidity it can cause injury in the process of a fall or other unforeseen event). But sometimes it’s better to go with acrylic, which is stronger and better withstands chewing loads. When choosing removable dentures for teeth (which is better), you should ask your dentist - he will give individual recommendations.
- Prosthetics on implants.
There are several options for such dental restoration: bridge structures on implants (in case of complete edentia, they are installed in “sections”: several dentures on one jaw), removable dentures on implants (this method is especially recommended for the lower jaw, on which the usual removable structure does not hold very securely) and even clasp ones. Implantation serves as a support for the main prosthesis and makes it more reliable. If the patient is not afraid of serious stress on the body and is ready to invest a lot of money in restoring the health of his oral cavity, he can carry out a complete implantation of the entire dentition; modern technologies allow this possibility. - All-on-4.
A modern and very reliable method of restoring teeth, which is much more economical than full implantation. The essence of the method is that four implants are implanted into the jaw, on which the main structure is then installed, restoring the entire dentition.
Dental surgeon, implantologist at the 32 Dent clinic Sergey Leonidovich Yakubovsky: “We recommend All-on-4 prosthetics to patients with complete edentia as a gentle and very reliable way to regain their teeth. Full implantation is quite a serious burden on both the body and the patient’s wallet. And here there is an opportunity to restore the dentition at an affordable price, for a long time and with good aesthetics.”
Which teeth are better to insert: prices for prosthetics
Complete removable structures will cost 15-55 thousand rubles. If you plan to install them on implants, the cost of implantation will be added here, so the price will be higher - from 58 to 80 thousand rubles. All-on-4 prosthetics will cost approximately 50-60 thousand rubles (depending on the chosen main prosthetic design and types of implants).
Which dentures are best to install?
? It is advisable to at least have a rough idea of what you want when going to the dentist. And the doctor will help you navigate and choose the optimal method for a particular case, tell you about all the pros and cons of the chosen method and carry out proper installation. The main thing is to choose a good doctor!
Prices
| Service | Price |
| Prosthetics with partial removable plate dentures | from 17,000 rub. |
| Prosthetics with partial removable lamellar dentures (immediate denture) | from 7,500 rub. |
| Prosthetics with removable clasp dentures | from 40,000 rub. |
| Dental prosthetics with complete removable plate dentures (immediate denture) | from 8,000 rub. |
| Restoring the integrity of the dentition with fixed bridges (tooth) | from 14,700 rub. |
| Restoring the integrity of the dentition with fixed bridges (crown) | from 18,400 rub. |
To avoid possible misunderstandings, please clarify the cost of services in clinics with the administrator or during a consultation with a doctor. Prices on the website are not a public offer.
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Advantages and disadvantages
The benefits of dental bridges are numerous. It costs to install a bridge:
- To prevent jaw bone atrophy
- To prevent the displacement of adjacent teeth by closing the free space
- To prevent tooth decay and gum disease caused by food accumulation in areas where teeth are missing
- For immobilization of teeth in periodontopathies
- To restore the aesthetics and functionality of the dentition
However, the need to prepare healthy teeth adjacent to the defect is a major disadvantage of bridges, so for many patients, implants that do not require intervention on healthy teeth are a more practical solution. Implants are fixed in the bones of the upper or lower jaw and single crowns or bridges consisting of several crowns are installed on them.
