Removable dentures. Push-button fastening. asks Yaroslav answers Bedrik Irina Alekseevna

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 are gaining popularity, as well as removable dentures new generation without sky. 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 the complete absence of teeth, the other - for 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 chewing 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 mandible). 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 can also include: ease of manufacture, maintainability in case of breakage, relatively low cost - in comparison with 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 in the 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. bone tissue jaws. 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 the nylon prosthesis (necessary for its fixation) are also made of pink nylon, which makes them invisible against the background of the pink gum shell. 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 vast majority of cases, they are negative, which is connected, paradoxically, 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 prosthesis clasps 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 a lock fastening, only the micro locks here are not on metal-ceramic crowns, but not on the 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 push-button microlock(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 the attachments on the inner surface of the body of the removable prosthesis, recesses are made 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 bar 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.

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 structure (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 a 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 vomiting 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:

1. 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 - complex 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 fixed dentures made on implants for the upper jaw? Yes, but rarely, and there are some serious reasons:

1. To do this, you need to implant a sufficiently large number of implants, and this pleasure is not cheap.
2. Implantation has big list contraindications.
3. 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.

Modern dentistry works wonders. However, keeping teeth in old age is not so easy. In any case, there is a need for prosthetics. On the this moment there is a wide range of products. But, despite this, many do not know which dentures are best to put. Reviews of dentists show that any particular type of product has its own advantages and, of course, disadvantages. All this must be taken into account in the process of choosing a material.

Types of dentures

To answer the question of which dentures are best to put, several factors must be taken into account. It is very important. First of all, the structures should not partially, but completely restore the functions of already lost teeth. In addition, the choice of prosthetics method depends on financial capabilities, and should also be based on the goals pursued. First you need to understand what kind of dentures exist in general. Which is better to put, the dentist will help determine. Here are the main types of dentures:

1. Metal. As a rule, they are made of steel or gold.
2. Metal-ceramic.
3. Combined. AT this case front side the prosthesis can be made of plastic, and the reverse - of metal.
4. Ceramic.

It should be noted that dentures are made not only from different materials, but there are different shapes. They can be made in the form:

1. Single crown.
2. Bridge prosthesis.
3. artificial structures.

Determining which dentures are considered the best is not so simple. Each of the varieties has its own advantages and features. The main difference lies not only in the cost of finished structures, but also in aesthetic qualities.

Do not forget that dentures are of several main types: removable and non-removable. They also have significant differences. First of all, fixed constructions are fixed on the teeth by the dentist only for a certain period.

Which removable denture is better to put

First of all, it is necessary to determine what kind of orthopedic system is needed. Removable structures are classified into several main groups. Among them:

• conditionally removable;
• partially removable;
• complete removable.

The range of such products is quite large, and when choosing a design, you should listen to the opinion of experts. The above types of prostheses have their own characteristics. The choice of a specific orthopedic design depends on how many intact and healthy teeth. In this case, the product must fully perform its functions and not cause discomfort.

Removable dentures full

If it is possible to hook the orthopedic structure, then the dentist can install only the clasp system. It differs not only in aesthetic appearance, but also good quality. But what kind of dentures is better to put, if there are no teeth at all? In such a situation, complete removable structures are suitable. This is the only alternative for edentulous both or one jaw. Such structures are made, as a rule, from nylon or acrylic. It should be noted that the technology of manufacturing dentures has undergone some changes. As a result of this, products have become more durable and accurate. Improved models are now more practical and devoid of such shortcomings as unreliable fixation in the oral cavity, as well as unsatisfactory appearance.

Dental prostheses made according to modern technology, differ high rate wear resistance. At proper care and compliance with all hygiene rules orthopedic constructions able to last for quite a long time. At the same time, the appearance, as well as the color and density of the products will remain practically unchanged. It should be noted that complete removable structures in recent times began to be made taking into account all the wishes of the client and, of course, individual features oral cavity.

A secure fit is important

So, what kind of dentures is better to put in case of loss of all teeth, figured out. However, many patients doubt the reliability of fixation of complete removable structures. In order for the prostheses to hold securely, they should be placed on implants that are previously implanted in the jaw. Of course, there is also a more expensive option. In this case, dentures are installed, which are equipped with special suction cups. However, such designs are not recommended to be installed on the lower jaw, which differs from the upper jaw in greater mobility. It is worth noting that removable dentures look no worse natural teeth. Adaptation to such products proceeds quickly and painlessly.

Acrylic or nylon?

Which dentures are considered the best today: acrylic or nylon? It is rather difficult to answer this question unambiguously. To understand this and understand which dentures are better to put, you should consider all the advantages and disadvantages of the products.

1. Flexibility and, of course, lightness. These indicators affect the strength of structures. For example, nylon dentures are very flexible, soft and light due to the material. However, such structures are very difficult to break. In terms of flexibility and strength, acrylic prostheses are inferior to nylon ones. But such structures are able to retain their shape for a long time. In addition, acrylic dentures are lightweight.
2. Hygiene. This indicator is of particular importance to many. Nylon orthopedic structures do not emit odor, are non-toxic, and also do not absorb moisture. Acrylic dentures have an exceptionally porous structure. It is because of this that a large number of bacteria accumulate on their surface, which can cause the development of inflammatory processes in the oral cavity.
3. Appearance. What dentures are better to put so that they do not stand out much? Nylon designs are best suited for color and shape. In addition, they are able to maintain an aesthetic appearance for a long time. The disadvantage of these prostheses is the translucence of the teeth at the junctions. As for acrylic removable structures, they can be selected not only in shape, but also in color.
4. Hypoallergenic. In this regard, nylon structures have good biocompatibility, which cannot be said about acrylic prostheses. They can cause local and general allergic reactions.
5. Price. Nylon removable dentures are more expensive than acrylic ones. The problem is that they are made abroad. If we compare the cost of implantation and installation of removable dentures, then the cost last method prosthetics can be called democratic.

Removable partial systems

Which dentures are best for chewing teeth with partial loss? In this case, partial removable structures should be used. Such dentures are made on plastic or metal frames. They allow you to fill the gaps that occur after the loss of teeth. Most often they are installed:

• in those situations where adjacent teeth cannot be used as a support for the installation of a bridge;
• with a significant row defect. For example, in the absence of several teeth in a row;
• as a temporary measure, while a more reliable and high-quality design is being manufactured.

There are several main types of removable dentures:

• immediate prostheses;
• segment, or sector, removable structures;
• products on telescopic crowns;
• clasp systems;
• lamellar plastic prostheses.

Lamellar plastic structures: features

What dentures are better to put as a temporary measure? Some experts recommend using plastic plate structures. Their cost is relatively low. However, in the process of chewing food, such systems do not ensure the correct distribution of the load on the gums. positive side such structures is a simple mount. If necessary, you can independently remove and then replace the denture. This allows you to carry out its hygienic treatment without the help of others.

As a rule, lamellar plastic prostheses are used exclusively to restore missing teeth. In fact, these are the simplest orthopedic structures that have a low cost. With their basis, such systems rest on the surface of the gums and are held by the nearest abutment teeth thanks to metal hooks - clasps.

Also in dentistry, immediate prostheses are used as temporary structures.

Clasp systems - medical dentures

What is better to put constructions with a shortage of only a few teeth in a row? Of course, clasp systems. They are considered comfortable and reliable even with prolonged use. main feature structures - uniform distribution of mechanical loads on the gums and remaining teeth when chewing food.

Features of clasp systems

The basis for the clasp systems is a frame, which is a metal arc with all fastening, fixing and functional elements. This part of the structure is made only individually and by high casting. The frame is made of high-strength alloys, for example, titanium, gold-platinum and chrome-cobalt.

Install such prostheses for periodontal disease and as a medical device.

Other types of removable dentures

There are situations when only one side of the dentition falls out. In such situations, removable sectors are usually installed. These are one-sided structures that are attached with special hooks or attachments.

If one of the teeth is not in the row, which dentures are better to put? Photos of patients after the installation of conditionally removable structures confirm that such systems are able to restore the aesthetic. As a rule, such orthopedic systems are made of plastic or ceramic. They look natural and are not conspicuous. Orthopedic constructions of such a plan are fixed thanks to special locks to the abutment teeth. Fasteners are built into the crowns. Main disadvantage conditionally removable dentures is that it is impossible to get them on your own. Only a dentist can do this.

Fixed orthopedic constructions

In addition to removable dentures, there are systems that are attached exclusively to a specific place. They completely restore the chewing function and perfectly replace the missing fragments of the row. However, such designs have one drawback - they cannot be removed independently. This can only be done by a dentist using special tools. These dentures are non-removable. There are several main types:

• dental crowns;
• bridge prostheses;
• tabs;
• veneers;
• implants.

Which dentures are better: removable or non-removable

To do right choice, there are several factors to consider:

1. Number lost teeth. For example, if one or two are missing, then you can resort to implantation, install a conditionally removable prosthesis or a crown.
2. Fixed constructions restore chewing function much better. To get an attractive smile, you should use conditionally removable dentures or install veneers.
3. Removable structures must be periodically removed and cleaned and processed, as they fit snugly against the surfaces of the gums, thereby creating places that are hard to reach for the brush.
4. Price. Many methods of prosthetics require considerable costs. If the financial situation does not allow, then you will have to choose from inexpensive methods. Most a budget option- these are metal or removable systems made of plastic.

Hello. 3 days ago they put arsenic. Yesterday, the temporary filling was removed and after the inspection, the temporary filling was put back in. Now there is a taste of blood in the mouth from this tooth. What to do?

Good afternoon, Irina! Judging by the situation you described, if you have two teeth, you can only be offered a partial removable denture. If aesthetics are important, then you need to go for the extraction of your two teeth in order to then install a complete removable denture. Fixation of the complete removable prosthesis on the lower jaw is bad, but it will definitely be more aesthetically pleasing. The fixation of the prosthesis will improve if you install implants and install a prosthesis or crowns on them.

25.01.2019
asks Golushko Irina

Hello. There are 6 teeth on the upper jaw, respectively 3,2,1-1,2,3. I currently wear nylon prosthesis.On the 3-ke under the hook there is a photopolymer filling (I change it for the second time due to caries). Nearby, the deuce requires repair with pinning, an inflammatory process is underway. Periodontal disease is present without much mobility, as well as cervical caries. I would like to know if it is possible to install an acetal prosthesis without installing metal ceramics on intact teeth, so that in the future, if necessary, they can be removed and plastic ones added to the prosthesis? Paradanthosis and 60 years old do not inspire optimism. healthy teeth under cermet? Yours faithfully, Irina.

Good afternoon, Irina! An acetal prosthesis, like a nylon prosthesis, does not require metal-ceramic coating of supporting teeth. In general, the design of an acetal prosthesis is considered more reliable and can be repaired, but when you deliver the teeth, you do not get a completely new design. The frame of the acetal prosthesis remains the same and the new hooks, even if they can be inserted, will not be connected to the main frame. Accordingly, the repair of the prosthesis may not be 100% effective. It doesn't mean it doesn't suit you. this species prosthetics, it is simply not possible to protect yourself from rework in case of tooth extraction. In this situation, it is the acetal prosthesis that will suit you best.

06.12.2018
asks Irina Kuzina
answers Bedrik Irina Alekseevna

on the upper jaw on the right side of the canine. on the left two teeth are crooked and everything is how to be removed with a removable prosthesis how it will look. thanks

Good afternoon, Irina! From the point of view of aesthetics, a complete removable denture will look better. The fixation of such a prosthesis will be much better than partial denture supported by three teeth. Neither the lower jaw, of course, need to fight for each tooth, for adequate fixation of the prosthesis.

05.12.2018
asks Yaroslav
answers Bedrik Irina Alekseevna

Hello! Is it possible to fix on healthy teeth, not closed with crowns, a removable prosthesis of the lower chewing teeth. Thanks

Good afternoon, Yaroslav! The classic partial denture does not require crowns on the abutment teeth. Crowns are required only for clasp prostheses with locks.

05.11.2018
asks Sinitsa Oleg Petrovich
answers Bedrik Irina Alekseevna

Hello! On the lower jaw, on the right side, three teeth remained, next to each other, one incisor and two fangs. Is it possible to install fixed prosthesis, or what options for prosthetics are. Thanks for your reply Regards Oleg

Good afternoon, Oleg Petrovich!

Fixed prosthetics in your case is possible only with the use of implants. Otherwise, an exclusively partial removable denture can be offered.

01.10.2018
asks Shkel Evgenia Viktorovna
answers Bedrik Irina Alekseevna

Question: I have a removable prosthesis in the upper jaw, it rests on one front tooth, now the tooth remains. What do you advise me? The prosthesis will not hold.

Good afternoon, Evgenia Viktorovna! If you remove a tooth in the upper jaw, the prosthesis will hold up perfectly. The fixation area of ​​the upper prosthesis is large, in comparison with the lower jaw, and the structure will definitely not fall out of the oral cavity. In the lower jaw, the number of teeth plays a decisive role.

22.08.2018
asks Natalia
answers Bedrik Irina Alekseevna

They removed the bridge on the lower jaw on the left. There was a whole very extreme tooth, but it sways. There were 3 teeth under the bridge. All have been removed. The doctor suggested removing the last tooth and putting in a removable prosthesis, but for some reason he says that the upper bridge on the left should also be removed, why?

Good day, Natalia! It is likely that the maxillary bridge needs to be replaced for a number of reasons. And one of the reasons is the creation of the correct bite, taking into account lower teeth. But the most correct thing is to ask the doctor what is the urgent need to replace the bridge on the upper jaw.

16.08.2018
asks Natalia
answers Bedrik Irina Alekseevna

Which prosthesis is better clasp or nylon? The upper jaw has 4 teeth.

Good day, Natalia! It all depends on the quality of the bone tissue and the teeth themselves. In your case, I would suggest an acetal prosthesis. The clasp prosthesis seems to me to be a heavier structure for your teeth.

31.07.2018
asks Elena
answers Bedrik Irina Alekseevna

They put a removable prosthesis on my upper jaw, my appearance changed for the worse. As if under upper lip put a nut. Is it possible to remove the thickness of the base and teeth from the front side (under the lip)?

good day, Elena! The thickness of the base can be removed and even the teeth can be moved to another position. But, only you must understand that this is a complete alteration of the prosthesis, taking into account aesthetic requirements and facial features.

13.02.2018
asks Porazhik Irina Borisovna
answers Bedrik Irina Alekseevna

Answer please!!! Should the bracket of the clasp prosthesis be adjacent to the upper sky? It does not bother me and they say that this is the way it should be. I doubt. And if not, what should be the gap? Thank you.

Good afternoon, Irina Borisovna!
All elements of the clasp prosthesis should be adjacent to the sky, but do not press on it. There should be no gap between the prosthesis and the oral mucosa.

16.11.2017
asks Vitaly
Irina Bedrik answers

Good afternoon. I need to remove 10 teeth 6 lower and 5 upper anterior, one anterior is already gone, and put dentures

Good afternoon, Vitaly! If you need to remove teeth, then you need to perform this intervention at qualified specialist and immediately set him the task of preparing for prosthetics. It is necessary not only to remove teeth, but also to smooth everything sharp corners and edges. For fast healing wounds need to be sutured. Such preparation will make it relatively easy to get used to the future prosthesis.

13.11.2017
asks Alexander
Irina Bedrik answers

I don't have two upper chewing teeth on the top. What prosthesis should I put?

Good afternoon Alexander!
It is necessary to put implants or a partial removable denture. There is no option for fixed structures, otherwise you will lose the abutment extreme teeth.

08.11.2017
asks Tetyana
Irina Bedrik answers

Good day! The child should wear the plate on the lower slot (expansion) and may put it on the upper one. Ale went to Laura and it turned out that there might be adenoid

Good afternoon, Tetyana!
The ringing of the upper fissure is often associated with adenoids. It is recommended to treat the problem with adenoids first, and then take up orthodontics. In the past, you will be the mother of relapse and do not indulge in the result of the lure.

08.11.2017
asks Maxim
Irina Bedrik answers

Is it possible to put a clasp prosthesis on attachments for 4 teeth, that is, for 34 .33 .44 .43, and do not touch the 4 central ones at the request of the patient?

Good afternoon, Maxim!
The decision is made not only on the basis of the patient's requests, but the doctor is guided by clinical necessity. Attachments (locks) have a very bad effect on the root of the tooth, so the length of the roots of the teeth, their integrity, the level of bone tissue, etc. are important. I think that if aesthetics is important to you, then you will have to sacrifice the central teeth. Otherwise, it may be advisable to make a clasp prosthesis on clasps?

13.10.2017
asks Nikita Doroshenko
Irina Bedrik answers

Please let me know if there is anything I can do about my situation. My grandmother (80 years old) lost her last tooth in her upper jaw. There are no teeth left. what can you think of? + diabetes surgery is not possible.

Good afternoon, Nikita!
In the case of your grandmother, you need to make two removable dentures. This is the only option if contraindicated surgical interventions. Contact an experienced prosthetist, because the first prostheses at this age, you need to try very hard.

10.10.2017
asks Natasha
Irina Bedrik answers

we wear a plate on the lower jaw and for a year it has not expanded. What to do. can wear braces

Good day, Natalia!
The lower jaw is dependent on the upper jaw, and if the expansion cannot be obtained, then the problem may be in the narrowed upper jaw. I think you need to contact a competent specialist, he will tell you the solution. You may have to install braces, it all depends on your age and the clinical situation in the oral cavity.

10.10.2017
asks Klepcha Elena Aleksandrovna
Irina Bedrik answers

in the bottom row there are 4 teeth 3-4 and 3-4 which ones do you advise to make prostheses

the entire lower jaw is covered with crowns, the roots of 1 and 2 on the left have broken, these teeth are loose. granulomas on other teeth, but the teeth do not disturb and do not stagger. whether it is necessary to completely remove all the remaining teeth below and make a removable prosthesis, or can only remove 2 loose teeth and make a small prosthesis. And which removable prosthesis is now considered better than nylon or hard plastic.

Good afternoon, Elena Alexandrovna!
Any removable dentures on the lower jaw are poorly fixed. Therefore, it is necessary to strive to ensure that as many teeth as possible are left to fix prosthetic work. Those teeth that are highly mobile will have to be removed, but teeth with granulomas can still be saved. We recommend considering the option of a classic clasp prosthesis with a metal frame. If aesthetics are important, then an acetal prosthesis is an option.

09.10.2017
asks Kulik V.P.
Irina Bedrik answers

There are no teeth on the lower jaw, except for 2 nearby under a plastic crown (lateral incisor and canine). What is the best prosthesis for the lower jaw?

Good afternoon!
Most likely, you need to install a partial removable plastic prosthesis. Anything more expensive doesn't make sense.

09.10.2017
asks Eva
Irina Bedrik answers

hello! I don’t know what to do .... I remove the upper teeth under a removable prosthesis, there remains one canine on a pin with metal ceramics and my far one on the opposite half. And below are seven of my teeth from canine to canine and one nearby)))! in one clinic it is advised to remove the entire top and put acrylic dentures and a nylon partial prosthesis on the lower jaw. In another clinic, they advise to keep the two upper ones and make a nylon prosthesis, sharpen all seven healthy teeth on the lower jaw and put a clasp prosthesis on micro-locks., as well as an overbite I have a deep, and I feel sorry for the remaining teeth to sharpen. How to be? (((((

Good afternoon, Eva! I prefer the first option. Removal of all teeth in the upper jaw will allow good fixation upper prosthesis, and the preservation of teeth in the lower jaw is a definite plus. It is pointless to insist on some option, you need to look at the situation in the oral cavity.

02.10.2017
asks Bogunova Nina Petrovna
Irina Bedrik answers

Is it possible in removable prosthesis replace teeth.

Good afternoon, Nina Petrovna! It is possible to replace 1-2 teeth in the prosthesis. If you want to replace all your teeth, it's easier to completely redo the denture.

02.10.2017
asks Lyudmila
Irina Bedrik answers

see the entire chewing row to put more prostheses

Good afternoon!
Better than anything else, a plastic prosthesis, and you can easily rebase it at any time.

24.09.2017
asks Novikova Elena Anatolyevna
Irina Bedrik answers

Hello, tell me, 4 molars are missing on the lower left jaw, they recommend making a removable prosthesis, is it worth it or not, I don’t understand how it will hold, it will jump, what do you advise

Good afternoon, Elena Anatolyevna!
If you are not sure that you need a prosthesis and you are doing just fine without it, then there is no need to change anything. In this case, the prosthesis will lie on the shelf and you will not want to wear it.
But seriously, of course, you need to restore lost teeth. The prosthesis will be fixed for last teeth with hooks. But in order to get used to the new design in the oral cavity, you need to make an effort on yourself. Work on yourself must be colossal!!!

20.09.2017
asks Vasilyuk Natalia
Irina Bedrik answers

I have a clasp prosthesis on my lower jaw. Dropped out now anterior tooth, (I don’t know the reason) began to stagger, and today I was brushing my teeth and suddenly the tooth fell out. Tell me what to do.

Good day, Natalia!
It is not entirely clear which tooth fell out (his own or from a prosthesis). In any case, your path lies to the prosthetist. A tooth from a prosthesis can be put back by repairing the prosthesis.

13.09.2017
asks Sokolov Evgeny Vladimirovich
Irina Bedrik answers

Hello! Please explain what can be done in my situation: Parodontosis. There are 6 front teeth on top and 8 front teeth on the bottom. The remaining teeth are not disturbing yet and in good condition. Prosthetics? Removable jaws?

Good afternoon, Evgeny Vladimirovich!
In your case, you need competent prosthetics, the purpose of which is the longest possible functioning of the remaining teeth. Most likely, we will talk about partial removable dentures based on the remaining teeth.

09.09.2017
asks Zoya Yurievna
Irina Bedrik answers

Please, tell me the cost of a removable plastic prosthesis for the upper jaw, all the teeth at the top have been removed, a pensioner.

Good afternoon, Zoya Petrovna!
Complete removable prosthesis for the upper jaw 5500-6500 hryvnia, depending on the set of teeth. Only imported materials are used.

06.09.2017
asks Melnikova Olga Alexandrovna
Irina Bedrik answers

Good afternoon! I had an upper removable denture made. but the farthest part of it departs a little from the sky. food particles get in there. Do I need to contact a technician? who made the prosthesis. so that he builds it up in this place?

Good afternoon, Olga Alexandrovna! The prosthesis needs to be additionally rebased. It is necessary to achieve a complete fit of the prosthesis to the mucous membrane, then it will be as stable as possible and food will not get in.

21.08.2017
Julia asks
Irina Bedrik answers

There are no teeth at all on the upper jaw. Can a soft jaw be placed?

Good afternoon Julia! special meaning not in soft jaw. You need a well-adapted plastic prosthesis made of quality material.

01.08.2017
asks Sergey
Irina Bedrik answers

Tell me, is it possible for you to relocate a clasp prosthesis (3 lower 47,46,45) in the oral cavity? If yes, what is the time frame and cost?

Good day, Sergey! We are engaged in relining prostheses that were made in our clinic.

25.07.2017
asks Eveniya
Irina Bedrik answers

Do the neighboring ones need to be turned under the crown? or leave alive.

Good afternoon Evgenia!
In your case, you need a nylon or acetal prosthesis. It seems to me that an acetal prosthesis is still a more preferable option. neighboring teeth in any case, it is not necessary to cover with crowns.

25.07.2017
asks Evgeny
Irina Bedrik answers

Hello! All teeth in the upper jaw. I have 5 teeth left in the lower jaw. On the right side 1, 2 and on the left 1, 2, 3. The rest were removed due to poor-quality prosthetics. What can be done? Which nylon prosthesis is suitable. Like a square? Implants and clasp are not considered.

Good afternoon, Evgenia! In your case, it is worth considering the option of an acetal prosthesis.

09.06.2017
asks Valentine
Irina Bedrik answers

Prosthetics with a complete removable denture with a high gag reflex

Good afternoon Valentine! In patients with an increased gag reflex, of course, there are certain difficulties in prosthetics. But there is experience in working with such patients and you can contact our clinic.

16.05.2017
asks Vladimir
Irina Bedrik answers

Hello! The situation is this - they removed 4,5,6,8 from the top left and 6,7 from the bottom left to remove, please tell me what is better to put and from what material (if not implants)? Thank you!

Good afternoon, Vladimir! If not implants, then most likely we will talk about removable dentures. Recommending something specific without seeing the situation in the oral cavity will wrong decision. Therefore, consult a dentist and find out the best solution specifically for your situation.

12.05.2017
asks Asylzhan Utemisov-Yessenov

Hello. And what do we need to do for the manufacture of orthodontic equipment? Should I send CT scans? Look please. This is a CT scan.

24.04.2017
asks Alena Markovskaya
Irina Bedrik answers

removable prosthesis for epilepsy

Good afternoon, Alena! No, for epilepsy, fixed prosthetics should be considered.

03.04.2017
asks Tamara
Irina Bedrik answers

Hello, the doctor left 7.8 on the upper jaw on the left, the rest was removed.

Good afternoon, Tamara! We definitely cannot advise the removal of teeth in absentia, but nevertheless, fixation of a complete removable denture will be better than a partial one in the upper jaw. Discuss with the prosthetist the quality of fixation of the prostheses in both cases, taking into account your clinical situation.

16.03.2017
asks Elena
Irina Bedrik answers

Good afternoon! There are two canines left on the upper jaw, they are rather weak (periodontal disease), but the prosthetists have not yet suggested removal. Suggested option: metal-ceramic crowns on fangs and a removable acrylic prosthesis on hooks. And solder a metal mesh into the structure from the side of the sky between the teeth to relieve the load on the teeth. In the future, it is promised that if one of the teeth is removed, solder the missing one and use the prosthesis in the future. Will the prosthesis then stay on one tooth? How feasible and effective is this option? Please advise. Thank you.

good day, Elena! It is necessary to realistically assess the need for these teeth in the oral cavity. If they are currently mobile, then there is no point in further resting the prosthesis on them. And even more so, it makes no sense to leave one tooth as a support for the prosthesis, a very dubious pleasure. It is worth considering the fact that the fixation of a complete removable denture with an edentulous jaw is much better than with 1-2 teeth in the jaw.

09.03.2017
asks Tatiana Boyko
Irina Bedrik answers

Good afternoon. Child 9.5 years old upper teeth they grow unevenly, I heard that it is possible to put a social plate ... Is there such an opportunity at the moment and how much does it cost?

28.11.2016
asks Unknown
Irina Bedrik answers

Below, on the lower jaw, there are four teeth under fillings (probably need to be covered with metal-ceramic crowns) and two teeth next to them under metal-ceramic crowns, there are no more teeth. Tell me which clasp prostheses are better to put (metal alloy, nylon or acrylic).

11.03.2016
Elena asks
answers Bedrik Irina Alekseevna

HELLO! IN MY CASE ON THE LOWER JAW THERE ARE 4 TEETH WHERE THE FANGS ON EACH SIDE ARE 2 TEETH. LOOSE GUMS, PARODONTOSIS. WHAT OPTIONS DO I HAVE. I ARE OFFERED FOR 4 FRONT TEETH A BRIDGE, AND THE REMAINING 4 IN PLASTIC CROWNS. PRICE IS SATISFIED. BUT EVERYTHING IS CONFUSING. DO I NEED TO TRY SOMETHING ELSE IN MY CASE AND WHAT. DIABETES. IF THERE IS A POSSIBILITY, HELP TO UNDERSTAND. THANKS.

good day, Elena!
Plastic crowns not in your case the best solution. Plastic crowns have a bad effect on the gums, and in most cases are used as temporary ones. It is necessary to assess the condition of the teeth and use the design in order to preserve your teeth in the lower jaw as much as possible. I can’t advise the design, because I don’t see the real situation in the oral cavity.

09.03.2016
asks Nikolai Yuryevich
answers Bedrik Irina Alekseevna

Good afternoon. I have lost two front teeth and side chewing. How best to retaliate. It is possible in my case to make a removable plastic prosthesis. And still there are problems with being.

Good afternoon, Nikolai Yuryevich!
If there are problems with the joint, it means there are problems of an occlusal nature. First of all, it is necessary to solve problems with occlusion and then fix the result in permanent prosthetic work. For the stability of the occlusion, it is important to maintain the frontal guide, that is, the anterior teeth. Dental implantation followed by fixed prosthetics can be considered the ideal method of restoration. The second alternative option can be considered classic clasp prosthetics. The most unfavorable for the stability of the result can be considered a lamellar prosthesis made of plastic.

05.02.2016
asks Mila
answers Bedrik Irina Alekseevna

Good afternoon! I have such a problem. I have removable dentures at the bottom 4 medium teeth are artificial. On both sides, the prosthesis is fixed to the teeth. On the left side, the tooth began to stagger and the prosthesis rests on it and there are no further teeth. 1) You can somehow strengthen the loose tooth or remake the prosthesis. And how much will it cost me for a pensioner who is not working. And the prosthesis weakened and began to subside. 2) Can the prosthesis be fixed somehow?

Good afternoon, Mila! In your case you need to do X-ray and determine if the loose tooth is treated or not. If the tooth needs to be removed, it must be held and then the prosthesis repaired. A missing tooth can be placed in a conventional plastic prosthesis and the prosthesis can be relined.

Http://website/ru/articles/alergicheskiy-kontaktniy-stomatit . Usually, an allergy to dental materials can be manifested by dryness of the oral mucosa, and increased salivation. Links