On the removal of single teeth in the upper and lower jaws. asks Sokolov Yevgeny Vladimirovich answers Bedrik Irina. asks Sergey answers Bedrik Irina

From this article you will learn:

what are the types of dentures
pros and cons of different removable dentures,
removable dentures of a new generation without a palate - price 2019.

Removable dentures are dentures that the patient can remove and put on himself. As a rule, they are made only with a large number of missing teeth - in cases where there is no possibility of fixed prosthetics or through.

Except traditional types removable dentures last years conditionally removable dentures on implants, as well as removable dentures of a new generation without a palate, are gaining popularity. Below you can learn about the advantages and disadvantages of both traditional and modern types prostheses.

Types of removable dentures -

What kind of dentures is better to put in will depend primarily on the number of preserved teeth. One type of prosthesis is more suitable for total absence teeth, the other - with their partial absence. Below we will analyze all types of removable dentures that can be made with complete or partial absence of teeth ...

1. Removable dentures in the absence of teeth -

The absence of abutment teeth in their complete absence leads to the fact that the masticatory load can be transferred from the prosthesis only to the alveolar processes of the jaws (gingiva), which always leads to fairly rapid atrophy of the gums, i.e. to a decrease in height. The latter circumstance leads to the fact that removable dentures should be changed on average every 2.5-3 years, because. the prosthesis ceases to correspond to the tissues of the prosthetic bed.

Another problem of prosthetics in the complete absence of teeth is the fixation of the prosthesis (especially if we are talking about the lower jaw). There is even the term "suction cup prostheses" (Fig. 1). We are talking about plastic prostheses, which are relatively well fixed during prosthetics. upper jaw, but in the lower jaw it is impossible to achieve good fixation of the prosthesis, in principle, if they are not installed under the prosthesis.

In the complete absence of teeth, apply –

2. Dental prostheses with partial absence of teeth -

Complete removable denture for the lower jaw: before and after photos

Thus, a rarefied space is formed under the prosthesis, which holds the prosthesis. That is why patients often refer to such prostheses as suction cup dentures. Moreover, it is best to make complete removable acrylic dentures on individual impression tray(remember this term), which will ensure a more accurate fit of the prosthesis to the tissues of the prosthetic bed, and therefore improve its fixation.

Which dentures are better - nylon or acrylic ...
when prosthetics in such a situation with a complete removable nylon prosthesis, there will be no “suction cup effect” due to the high elasticity of the body of the nylon prosthesis. This means that with the complete absence of teeth in the upper jaw, it is best to choose a plate prosthesis made of acrylic plastic.

When prosthetics of the lower jaw with a complete absence of teeth, the fixation of an acrylic prosthesis almost always leaves much to be desired (as with nylon prostheses), and almost all patients complain of periodic prosthesis falling out when chewing and talking. Of course, here you can use a special prosthesis, but still the most effective solution- it is conditionally removable acrylic prosthesis with support on 2-3 implants (read about this type of prosthesis below).

In terms of comfort and chewing efficiency –
plastic prostheses are superior in these qualities to nylon prostheses, because. the latter deform uncontrollably under chewing load (due to the high elasticity of nylon), causing pain when eating.

Acrylic dentures with partial absence of teeth: reviews

A partial acrylic denture will have stiff wire clasps that will extend from the plastic base of the denture and wrap around the abutment teeth (Figure 7-9). It is due to them that the partial lamellar prosthesis made of plastic is fixed in the oral cavity (Fig. 10-11).

Removable partial dentures for the upper and lower jaws -

Because the clasps are clasped precisely by the extreme teeth (located along the edges of the defects of the dentition), then if the abutment teeth are located precisely in the smile zone, the clasps will be clearly visible on the front surface of the teeth. This can be avoided only if you give preference to other types of prostheses (nylon or clasp).

In a nylon prosthesis, the clasps are made of flexible pink nylon, and therefore they are almost imperceptible against the background of the gums. However, the fixation of a prosthesis with elastic clasps will be - to put it mildly, “not important”, besides, such an elastic prosthesis will also be painful to chew. And the best solution in case of partial absence of teeth will always be only prosthetics with clasp-type prostheses (read about them below).

Acrylic dentures: pros and cons

In addition to the pros and cons that we have listed above, the advantages of plastic prostheses include: ease of manufacture, maintainability in case of breakage, relatively low cost compared to all other types of prostheses (see cost below).

The disadvantages of plastic prostheses can also be attributed –

dentures are quite massive and take up a lot of space in the oral cavity,
when prosthetics of the upper jaw (both with complete and partial absence of teeth) - the basis of the prosthesis will completely cover the palate, which will cause temporary violation articulation of speech, and also worsen taste sensitivity due to the overlap of taste buds located in the sky,
when prosthetics of the lower jaw with a complete absence of teeth - the fixation of the prosthesis will be quite poor (as with nylon prostheses), and there can be only one way out of this situation - a conditionally removable acrylic prosthesis supported by 2-3 implants.

Service life of acrylic dentures –
recommended average term service 3-3.5 years. However, it can be adjusted depending on the rate of atrophy of the jaw bone tissue. At increased speed atrophy, the service life is reduced to 2.5 years, with a slow rate of bone tissue atrophy, it can increase to 5 years.

Plastic prostheses: prices 2019

Prices for acrylic removable dentures are for 2019. The first figure corresponds to economy-class clinics, the second - to clinics of the middle price segment (the most low prices recorded by us in paid branches state dental clinics).

Complete removable acrylic denture –
→ in the regions - from 12,000 to 20,000 rubles.
→ in Moscow - from 14,000 to 20,000 rubles. (but if from expensive materials and on an individual impression spoon, then the price will be about 25,000 rubles).

On a partial removable denture –
prices in most clinics will be similar to a complete removable denture (or only slightly less, but no more than 10-15%). But a butterfly prosthesis for one tooth - the price will be from 6500 rubles.

2. Removable dentures made of nylon -

These are the so-called soft removable dentures made of elastic nylon (Fig. 13-15). They are used for complete and partial absence of teeth. Thanks to the properties of nylon, dentures made from this material can be made thinner and lighter than plastic dentures. In addition, nylon has a high degree of elasticity and flexibility, which makes these prostheses more comfortable to wear.

In addition, removable dentures made of nylon have very good aesthetics and are almost invisible in the oral cavity. This is due to the fact that the gingival clasps of a nylon prosthesis (required for its fixation) are also made of nylon Pink colour, which makes them invisible against the background of the pink shell of the gums. In turn, for plastic and clasp prostheses, the clasps are made of metal, and therefore they are clearly visible when they are in the smile line.

Dentures: photo

However, on this positive properties such prostheses are running out. in the overwhelming majority of cases, they are negative, which is connected, paradoxically as it may seem, precisely with the flexibility and elasticity of such prostheses. All the negative properties of nylon are fully manifested precisely when chewing pressure is transferred from a soft elastic prosthesis to the tissues of the prosthetic bed.

The high elasticity of the nylon prosthesis base leads to –

to rapid atrophy of bone tissue under the prosthesis,
rapid subsidence of the prosthesis and the need to replace it,
painful chewing of food
the need for frequent corrections of the prosthesis,
in addition, the prosthesis has a rough surface, which leads to a fairly rapid formation of a bacterial film on its surface.

Removable nylon dentures: price

For removable nylon dentures - the price is indicated for 2019 (the first digit is the cost in economy class clinics, the second - in clinics of the middle price segment) ...

complete removable denture - from 32,000 to 47,000 rubles.
partial removable denture - from 26,000 to 40,000 rubles.
butterfly dentures made of nylon (for 1-2 teeth) - from 17,000 rubles.

3. Removable dentures "Acry-free" -

Acry-free material was developed by Perflex Ltd (Israel) for partial and complete removable dentures. It has amazing aesthetic properties, i.e. the basis of the prosthesis is practically indistinguishable from the oral mucosa. The clasps of the prosthesis are also made of a translucent material, which makes them invisible - unlike the metal clasps of the clasp and traditional acrylic prostheses.

Cost of Acry-free prostheses –
the prices below are "turnkey" in clinics of secondary price category. average price in Moscow for Acry-free prostheses in 2019 will amount to…

partial removable denture - from 30,000 to 37,000 rubles.
complete removable denture - from 40,000 to 47,000 rubles.
prosthesis for 1-2 teeth - about 20,000 rubles.

4. Clasp dentures -

Let's say right away that there is nothing better than clasp prostheses with partial absence of teeth. Prostheses of this type differ from nylon and plastic prostheses in that they have a metal frame (arc) inside. The use of a reinforcing metal frame, on which a pink plastic or nylon base with artificial teeth is then installed, can significantly reduce the size of the prosthesis base.

So, for example, it is possible to make a removable prosthesis for the upper jaw without a palate, or rather, only a thin metal arc will pass through the palate. On the lower jaw in the sublingual space there will also be no massive prosthesis base, because. there will also be a practically imperceptible thin metal arc (Fig. 6). All this gives high comfort when wearing a prosthesis, talking, eating.

Removable clasp prosthesis on the upper jaw: before and after photos

Removable clasp prosthesis on the lower jaw: before and after photos

Fixation of clasp prostheses on the abutment teeth is carried out in two ways –

Advantages of clasp prostheses -

5. Removable dentures on implants -

Conditionally removable dentures on implants are called “conditionally removable”, because. despite the fact that the patient can remove and put on such a prosthesis at any time, the latter is very securely fixed on the implants. This design resembles prosthetics with a clasp prosthesis with lock fastening, only micro-locks are not on metal-ceramic crowns, and not protruding parts of 2-3 implants.

If you have a completely edentulous lower jaw or edentulous jaws with a high degree of bone atrophy, then only this method of prosthetics can achieve good fixation of a removable denture. In addition, in such prostheses, the basis of the prosthesis is much smaller than in complete removable dentures made of nylon or plastic. Some sources also call this type of prosthesis the term - covering dentures.

Covering dentures on implants - options for prosthetics

Prosthesis on implants with a microlock button type (Fig.15-17) -
2-3 mini-implants are implanted into the jaw, into which spherical attachments are then screwed (they will protrude above the mucosal surface in the form of metal round heads). In the projection of attachments on inner surface the body of the removable prosthesis is made recesses into which the fixing mechanism is inserted - silicone matrices.
When you put on the prosthesis, the heads of the attachments fall into the locking mechanism (silicone matrix), and the prosthesis is securely held. Such a prosthesis can never fly off on its own. You can remove it only with a little effort by hand. With such a prosthesis, you can comfortably chew, confidently talk with other people, without fear of falling out of the prosthesis.

Prosthesis on implants with a microlock of the beam type –
2-3 implants are also implanted into the jaw, on which a metal beam is then fixed. In the projection of such a beam on the inner surface of the body of a removable prosthesis, a recess is made corresponding to exact size beams and one or more silicone matrices are inserted there, which, when putting on the prosthesis, will tightly wrap around the beam.

Single removal question standing teeth on the top and mandibles solved differently. On the upper edentulous jaw, the conditions for fixing the prosthesis are more favorable than on the lower one. A relatively large area of the prosthetic bed, combined with a pronounced palatine vault and preserved alveolar process, provide good fixation of a complete removable denture. This circumstance made it possible to expand the indications for the removal of single teeth in the upper jaw, since they are not so much a help as an obstacle in fixing the prosthesis, preventing the creation of a closing valve. Fixation of the prosthesis of the upper jaw on a single preserved tooth with the help of a clasp is not always reliable. At the same time, the abutment tooth quickly becomes mobile and has to be removed. It should be noted that such prostheses in the area of natural single teeth often break, which also served as a reason for the removal of these teeth.

An exception to this rule was made for those patients who had a canine on one side of the upper jaw, and a well-defined alveolar tubercle on the other. The canine and tubercle created two points, providing stability to the prosthesis. However, indications for the removal of single teeth in the upper jaw cannot be considered only from the point of view of fixing the prosthesis. It is also necessary to take into account whether the patient has previously used prostheses or the latter will be made for him for the first time.

Saving at least one tooth in the presence of a well-defined alveolar process and alveolar tubercle allows to reduce the prosthetic basis and facilitates the patient's getting used to the prosthesis. From this point of view, in some patients, the preservation of a single standing tooth in the upper jaw is desirable.

The disappearance of the last pair of antagonists leads to the loss of a fixed bite height and complex restructuring nervous regulation activities chewing muscles. Removal last tooth, even if he was deprived of the antagonist, also means the disappearance of the sensation of chewing on natural teeth. If the first tooth extraction can be considered as the first blow to the unity of the dentition, then the removal of the last tooth means the final completion of its decay, after which the jaws, both functionally and morphologically, acquire completely new qualities. That is why the indications for the removal and preservation of a single tooth must be strictly justified not only in terms of the possibilities of prosthetics, but also in terms of the impact on the physiology of the oral cavity.

Experience convinces us that in a number of cases, the preservation of single teeth in the upper jaw is impractical. However, there are arguments in favor of their retention. In some cases, the indications for conservation are absolute, in others relative. To absolute readings include poor conditions for fixing a complete removable denture in congenital clefts of the hard and soft palate, micrognathia, flaws hard palate, acquired origin, scars of the transitional fold and prosthetic field.

To relative readings should be attributed to the patient's uncertainty about the possibility of good fixation of a complete removable denture in the upper jaw and increased vomiting reflex. Fear for the outcome of prosthetics gives the doctor the right to expand the indications for the preservation of these teeth. If the patient's uncertainty about the outcome of prosthetics with a complete removable prosthesis can often be overcome by suggestion, then the fight against an increased gag reflex does not end with the doctor's victory in all patients. Reduction of the prosthetic base allows avoiding this complication, but this is only possible with clasp fixation of the prosthesis. Of course, the patient should be explained that the period of use of such prostheses is short.

If you want to leave one or another single standing tooth, you should take into account its place in terms of prosthetics, that is, its functional value. Clinical experience shows that it is not advisable to preserve the central and lateral incisors, especially with significant atrophy alveolar processes and flat skies. The prosthesis will act in this case as a lever. Its sagging due to its own gravity, as well as under the action of sticky food, will create an overturning moment, causing an overload of the periodontium of the abutment tooth.

Single-standing premolars of the upper jaw are not very convenient for clamp fixation, since they have a small crown height and a weakly pronounced equator. The most convenient for these purposes canines and molars.

The attitude to single teeth of the lower jaw is completely different. The conditions for fixing a complete removable denture in the lower jaw are mostly unfavorable. A small prosthetic bed, the presence of such a mobile organ as a tongue on the border of it, make the fixation of the lower complete removable denture a difficult problem. Therefore, any tooth with mobility of the second degree for some time can serve as an aid in strengthening the prosthesis.

But the majority of single-standing teeth before prosthetics need special training. They usually have an elongated clinical crown and a correspondingly reduced root length. An increase in the external lever causes a functional overload of the tooth, which adversely affects its periodontium.

Patients with single standing teeth tend to be older people. Vascular system undergoes them various changes limiting them functionality. Periodontal arteries are also no exception to this rule. Changes in blood vessels also affect the ability of the periodontal tooth to absorb chewing pressure.

Elongation of the extra-alveolar part of the tooth leads to the fact that its crown extends beyond the occlusal surface, preventing further correct staging teeth.

In order to eliminate the discrepancy between the extra-alveolar and intra-alveolar parts of the tooth and thereby reduce the consequences of functional overload of the tooth, it is necessary to shorten the clinical crown with or without preliminary depulpation of the tooth (according to relevant indications).

Often our patients ask the question - what if there are no teeth left in the jaw at all? Really only "teeth in a cup" and on the shelf? At the same time, associations with grandparents who left the same glass in the bathroom for the night, causing genuine horror in children and disgust in adult family members, absolutely pop up in everyone.

Second phase

The second stage occurs after 3 months: a control image is taken - an orthopantomogram, evaluating how the implants engrafted. If successful, the surgeon installs eight gingiva formers. The patient walks with them for 2 weeks.

Third stage

At the first appointment, casts are taken and the laboratory begins to manufacture a "new jaw". The task of technicians is not easy: using eight implant supports, fix an arc on them, usually consisting of fourteen teeth.

The task of the doctor is to fix the structure so that the patient could not (and did not want to) remove the bridge and put it in a cup.

Not less than hard work the patient also has to get used to the feeling when suddenly there is a "full mouth of teeth" is not easy, but the result is worth it!

The whole journey will take 4 months.

How much does a job like this cost?

scares option for 359800 rubles? Perhaps you don't need it.

Two complete removable dentures also solve the problem of complete absence of teeth. Price: 28 000 rubles. Terms of prosthetics - 2-3 weeks.

Savings compared to implantation - more 90%! Faster 4 times!

In conclusion, I would like to remind you that keeping your teeth whole and beautiful is much easier and cheaper. Visit regularly for check-ups, come for professional hygiene once every six months and immediately go to the doctor if the first signs of the disease appear.

Be healthy!

Absence of teeth serious problem which requires an immediate competent decision. It does not matter why you lost your teeth: due to injury or illness, the function of the jaws must be restored, and as soon as possible, as this threatens with many complications. How is the prosthetics of the teeth in the upper jaw with complete adentia?

Removable products for the upper jaw have the following peculiarities:

thanks to an additional point of support (the sky), the prosthesis is firmly fixed in oral cavity,
in the process of choosing a method of prosthetics and manufacturing a structure, there are usually no difficulties, since the upper jaw has a large area for placing and fixing the product,
convenient to use,
while eating, the product does not move,
the prosthesis is invisible to others,
partial dentures evenly distribute the load without destroying the abutment teeth,
even if the patient does not have a single tooth left in the upper jaw, removable structures are able to fully restore the chewing function of the jaw.

Suction cup dentures

Suction cup dentures are a popular prosthetic method for fully edentulous patients.

Prosthetics of the upper jaw can be carried out using or conditionally removable structures. A complete removable denture is fixed in the oral cavity based on the gum line and palate. Often prosthetics of the upper jaw is carried out with suction cup prostheses, which are of several types:

acrylic products

The prosthesis has a special silicone insert, which is located between the base and the gums. It acts as a shock absorber - distributes the load when chewing food. But acrylic tends to accumulate plaque on itself and absorb odors, since it is a porous material. In addition, experts rarely try to use it, since with prolonged use, many patients develop allergies and prosthetic stomatitis.

Nylon is a flexible material, does not absorb moisture and is not prone to plaque buildup with proper care. Such prostheses are very flexible, stick well to the palate and are able to withstand fairly high chewing loads.

Polyurethane structures

Also a good material, it is non-hygroscopic, well fixed and affordable.

Expert opinion. Dentist Zubritsky O.A.: “The basis of this design completely repeats the shape of the sky, all its irregularities and bends, the color of the material is natural with a pinkish tint. The product is attached to the mucous membrane due to the vacuum effect, as if sticking to it. During the history of its existence, suction cup prostheses have survived a large number of changes, new flexible materials began to be used for their manufacture. All this made the design as convenient and comfortable as possible to wear.”

But one should also take into account limitations these prostheses:

Clasp prostheses

The clasp prosthesis can be used to restore the upper jaw in the complete absence of teeth. it modern design, consisting of a metal arc to which are attached artificial teeth. To restore the dentition in the complete absence of teeth, implantation of implants is necessary to fix the clasp construction (read more about prosthetics on implants). There are several methods fixing clasp products in the oral cavity:

clasp type of fastening,
fixation with micro locks,
with telescopic crowns.

In the manufacture of the structure for the upper jaw, a special bridge is provided in it, which connects the lateral parts and makes the chewing load more physiological and natural. There are several types of arc for clasp prosthesis:

Ring

This is a fairly rigid design, it consists of two narrow strips adjacent to the front and back departments sky. The use of an annular arch is possible only if there are no changes in the bone tissue.

It is used for prosthetics of patients with an increased gag reflex, with a flat palate and mild alveolar processes. This shape of the arc ensures even distribution of the load during chewing.

reminiscent of the form transverse stripe.

Clasp prostheses have many benefits:

the base of the product does not completely cover the palate (this is important, since a large number of taste buds are located on the palate),
there is no distortion of diction,
even distribution of the load on the gums,
do not cause the development of prosthetic stomatitis,
do not provoke a gag reflex, like full plate dentures.

Fixation of products on implants

The most reliable method of restoring the dentition in the absence of teeth is the fixation of prostheses on pre-implanted implants. This method has a lot pluses:

The implant is implanted for life, this is the most reliable method of restoring the dentition.

implants are implanted into the bone forever, they firmly hold the prosthesis, so it cannot fall out of the oral cavity,
implantation is a method that preserves the shape of the patient's face, which cannot be said about conventional removable structures,
Implanted artificial roots work in much the same way as real ones. This provides physiological pressure on the jaw bones, which reduces the risk of atrophy.

To attach the prosthesis to the implants, a beam or push-button attachment method can be used. In addition, implantation can be carried out by one of two methods:

Basal implantation

This method is gentle, as it is carried out relatively quickly, and recovery period passes easier than after the classical method. How long does prosthetics take? basal method? It takes about a week for all manipulations and engraftment of prostheses. A significant advantage of basal implantation is that it can be carried out even with bone tissue atrophy.

This method of prosthetics is used in the following cases:

with diseases of periodontal tissues,
if bone atrophy occurs,
no operation possible bone grafting(this is an artificial increase in the missing volume of bone tissue),
for health reasons, the patient is contraindicated to carry out alternative methods prosthetics.

2. Classic implantation

An artificial root is implanted into the jaw bone. Then follows the period of its engraftment, this period of time is called osseointegration. Most often, implants are made of titanium, it is a biocompatible material that in 99% of cases takes root in bone tissue without being rejected by the body.

Implantation - complicated operation, for which it is necessary to exclude the presence of contraindications in the patient (the list of which is quite large). In addition, for the implantation of an artificial root in the oral cavity, there must be a sufficient amount of bone tissue. Otherwise, bone grafting is performed.

Are the fixed prostheses on implants for the upper jaw? Yes, but rarely, and there are some serious reasons:

To do this, you need to implant a sufficiently large number of implants, and this pleasure is not cheap.
Implantation has big list contraindications.
To restore the entire upper jaw, you will have to make a long horseshoe-shaped prosthesis. If it breaks in one place, you will have to remove it entirely from the oral cavity.

The beauty of a smile largely depends on the anterior teeth of the upper jaw. Therefore, the main task of prosthetics is to create the most convenient and functional design, which would be aesthetically attractive, like real teeth. If several anterior incisors are lost, the solution can be found in the area of implant placement with ceramic or zirconium crown. However, what to do if there is very little left in the top row healthy organs? Implantation is a rather expensive procedure, and putting 3-4 teeth at once can be expensive even for wealthy people. Modern dental clinic In such cases, LeaderStom can offer several types of removable dentures at once, each of which has its own advantages.

Acrylic plate structures

Acrylic plate prosthesis has the most attractive price. This is a removable device that is attached to healthy teeth and completely repeats the shape of the lost organs in a row. If there are not enough teeth for fastening, or they are not able to serve as a support for fixing the prosthesis, then it is possible to install the structure by implanting two or more implants. Today, in the production of such dental products, hypoallergenic, biocompatible materials are used. However, all the same, such designs have their own costs, such as, for example, the difficulty of getting used to the device. The plate prosthesis covers most palate, which in some patients causes a feeling of discomfort, up to vomiting. It takes time and gradual, hourly wearing of the device for the body to accept new elements in the oral cavity.

Fixation of the lamellar prosthesis is carried out by special hooks - clasps. They are hooked on the abutment teeth and can be removed at any time if necessary. The acrylic plate, which rests against the sky, also serves as a support; it holds the prosthesis due to the suction effect. Dentists rarely recommend acrylic construction for permanent wear, most often this prosthesis is used as a temporary one.

Nylon soft dentures

This type of prosthesis is most suitable for those who have irritation to metal or hard acrylic materials in the oral cavity. Nylon prosthesis is made without the use of solid elements. The method of fixation is carried out by suction to healthy supporting teeth. A huge advantage of these products is the minimum amount of dental intervention during installation: there is no need to grind abutment teeth, cover them with metal structures such as locks or hooks, etc. Unlike common clasp structures, soft nylon products win at the price of a denture.

Clasp metal devices

A very common type, which is based on a metal arc - a clasp. It is a support that holds the artificial dentition of the upper jaw. The fastenings of such a device depend on the state of the supporting organs. These can be hooks, locks or caps that are placed on turned healthy teeth. The clasps allow the prosthesis to be made removable, while the installation on the caps rigidly fixes the structure. What type of installation to make is decided by your attending physician.

The basis of the prosthesis is a plastic base with a dentition. It is possible to order teeth made of high-quality plastic, however, if the means allow, ceramic products look more aesthetically pleasing, imitating healthy natural organs exactly.

In dentistry today, clasp prostheses are the most popular. This is due not only affordable price design, but also a significant improvement. Such products are maximally adapted to the oral cavity in terms of habituation and comfort. Significantly improved technologies for the manufacture of clasp prostheses, which allows you to restore the dentition at the most various pathologies. For example, such an installation is possible if two teeth are missing after one or three in a row and one more after two healthy ones. In a word, any combination of restoration of the dentition is quite accessible with dental prosthetics.

Sometimes the installation of a denture is the only optimal solution for gum disease, for example. Or another option, when the bone tissues of the alveolar processes have become thinner and are not strong enough to install implants. Then all the advantages of removable and non-removable dentures are the most acceptable.

Micro prostheses

These are small removable structures that are installed on one or two missing teeth. They are used during adolescence, when it is necessary to replace a lost molar, but the growing jaw bone does not yet allow a permanent implant to be made. Such products are worn temporarily, up to 3-4 years, and then full-fledged prosthetics are carried out for decades.

Rules for handling dentures

The duration of wearing dentures can be different, depending on the accuracy of use and proper care behind the design. On average, such products are designed for operation up to 5 years. This period is due not to the quality of the material, but to the deformation of the gums. The fact is that the prosthesis does not allow full participation bone tissues while chewing, as nature intended. As a result, over the years, the bones of the upper or lower jaw without proper load decrease in volume, and, accordingly, the gum in this place also becomes thinner. Therefore, after 3-5 years, any, even the highest quality denture needs to be adjusted for a new line of gum tissue.

You need to take care of prosthetic structures daily:

rinse under running water;

clean special brush and toothpaste without abrasive substances;

make sure that darkening or analogs of tartar do not appear on the prosthesis;

periodically clean the prosthesis with special tablets;

leave acrylic or metal structure overnight in aqueous solution.

There is some controversy regarding the glass of water. Previously, this method of preserving the prosthesis was necessary due to the rubber composition. When plastic structures began to be made, this material does not need a constant water environment. Moreover, some dentists believe that the usual water solution can contribute to the development pathogenic bacteria on a surface plastic prosthesis. The best option the product will be stored in a special solution with a cleaning tablet, which can be purchased at any pharmacy.

The period of getting used to the prosthesis can take up to two months. All this time, you should carefully monitor how the engraftment takes place. If there is inconvenience while chewing food, then you should contact your dentist to correct the clamps. The process of fitting the prosthesis is completely normal and may require up to 5 visits to the dentist. The gum is not designed by nature for chewing load, so the patient may experience discomfort at first.

Do not try to immediately try the prosthesis in action. Chewing function is possible only after a few days of getting used to. Wear the product for several hours after eating and track all the sensations: where the design presses on the gum, where it rubs, and where an unwanted empty space forms.

A separate point concerns getting used to foreign object in the mouth. During the first days, all patients experience increased salivation, since the oral glands perceive the prosthesis as foreign body- food. The constant contact of the acrylic plate with the sky can make it difficult to swallow and cause a gag reflex. To eliminate this problem, you should periodically keep sucking sweets in your mouth.

If the installed denture greatly changes diction, then this is also a reason for a visit to the attending physician. It is necessary to install the prosthesis as naturally as possible so that all pronounced sounds correspond to normal pronunciation. Within one to two weeks, a complete adaptation usually occurs and the person begins to talk as usual.

To determine the choice of a suitable prosthetic design, a consultation is needed. a good specialist in this region. Clinic "LeaderStom" has exactly the qualification of doctors, which allows you to create comfortable and aesthetic dentures. We will help you choose a type of construction that will completely replace the functionality of the dentition of the upper jaw. Wherein beautiful smile and new life your teeth are provided!