Prosthetics using the classical technique or implantation, which is better? Which is better - dentures or dental implants?

A prosthesis on implants is the most reliable option for orthopedic treatment, both in the absence of the 1st tooth, and for restoring the entire jaw. The implant is made of titanium alloy and replaces the lost tooth root.

The dentist will put any type of prosthesis on a titanium pin - a single crown, bridge or a "new" jaw. Modern 3D technologies allow the doctor to clearly plan the load and location of implants in advance and coordinate this computer model with the patient.

Pros and cons of prosthetics based on implants

The main advantages compared to traditional prosthetics:

• correct distribution of chewing load on the jaw, prevention of atrophy of the jawbone;
• to fix the prosthesis, it is not necessary to grind adjacent teeth, since the implant itself serves as a support;
• reliable fixation of the product in the oral cavity, it does not need to be constantly removed and put on;
• The service life of implants, depending on the manufacturer, varies from 10 to 20 years - as they say, set it and forget it.

Main disadvantages

• high cost of the procedure - 3-4 times more expensive than classical prosthetics with microprostheses;
• difficult postoperative period - after implantation of the implant, mucosal edema, aching pain, discomfort and other complications are possible;
• the presence of a large list of contraindications to implantation - chronic ailments, reduced immunity, diseases of the circulatory system, poor oral hygiene, etc.

How does one-stage implantation work?

This is the implantation of a solid implant, which already consists of two parts - the root and the crown. In just 20-30 minutes you get a new full-fledged tooth. The method is only suitable for replacing one unit (molar, canine or incisor).

The main condition for simultaneous implantation is the absence of infection and any dental diseases in the mouth. Even in the presence of a small carious focus, the risk of implant rejection increases.

Procedure steps:

• gum incision with a surgical scalpel;
• sawing of the bone area in the projection area of ​​the future implant;
• creating a small depression in the bone with a fissure burr;
• implant placement.

The operation is performed under local anesthesia.

It is carried out in most cases. Includes 2 procedures: implantation of a titanium implant and fixation of the upper part - prosthesis.

1st stage

• deep incision on the mucosa and exfoliation of the flap;
• drilling a hole in the jawbone corresponding to the length of the implant;
• formation of a cylindrical bed under the shape of a titanium rod;
• introduction of an artificial root using a dental hammer;
• installation of a metal plug to protect the implant.

The process of osseointegration, that is, the fusion of the implant with the jaw bone tissue, lasts at least 3 months. Only after complete engraftment, the design is able to withstand chewing loads. So, you can put a prosthesis.

2nd stage

• replacement of the plug with a gum shaper;
• screwing in an abutment - a support for a crown or other orthopedic structure;
• taking casts of the patient's teeth for the manufacture of an individual prosthesis in a dental laboratory;
• fixing the finished prosthesis to the abutment with cement (or other type of attachment).

There are 2 methods of prosthetics on implants: fixed and conditionally removable.

Fixed prosthetics on implants

Fixed prosthetics is advisable for small defects in the dentition:

• If one tooth is lost, one implant and a crown are placed;
• in the absence of 2-3 teeth, 2 implants and one bridge will be required.

The orthopedic part is usually made of cermet. This is a durable and reliable material, designed for increased chewing loads. And for the smile zone, it is better to use porcelain on zirconium dioxide. Such materials perfectly imitate the natural color and transparency of enamel.

Removable (conditionally removable) prosthetics

A removable prosthesis does not actually need to be removed daily, unlike plate-type nylon and acrylic prostheses. But if necessary, the patient can remove the product on their own or seek help from a dentist.

Removable dentures on implants are ideal for complete absence of teeth or significant defects in the dentition. The structure is fixed with a beam or mini-locks.

beam type

Several implanted implants are connected to each other by a metal beam. A removable prosthesis is attached to this beam from above. On the inside of the prosthetic base there is a special recess, which exactly repeats the beam mount in shape.

The beam provides a strong, reliable fixation and even distribution of the chewing load. The denture won't move even when you chew solid food.

Ball-shaped mini-locks

Fastening to a metal implant is carried out by means of mini-locks. The upper protruding part of the titanium rod serves as half of the lock, and the second half is in the body of the prosthesis. When these 2 parts are connected together, the lock snaps into place, like buttons on clothes. In this case, the patient can independently remove or put on the prosthesis.

Nevertheless, the method is considered less reliable compared to beam-type fastening, since ball-shaped locks often fail.

all-on-4 method

It is used to restore a completely edentulous jaw. A one-piece prosthesis of 12 crowns is attached to only 4 implants: 2 of them are implanted in the area of ​​the incisors and 2 more are installed at an inclination of 45 degrees in place of the "fives". The method allows you to save your money: instead of 12 dental implants, you put only 4.

FAQ

How to care for dentures on implants?

Clean the structure twice a day with a regular toothbrush and paste. It is advisable to use floss, irrigator and a special brush. Especially carefully clean the junction of the prosthesis with the gum and the remaining "living" teeth. In these areas, food debris and plaque accumulate faster.

How long will the implants last?

Titanium implant lasts 15-20 years if properly installed. Some manufacturers give a lifetime warranty. But the upper part (prosthesis) will have to be changed every 5-10 years. It all depends on the quality of the product and compliance with the rules of daily hygiene.

How to understand that the prosthetics was successful?

After the second stage (fixation of the prosthesis), you should be completely satisfied with the functionality and appearance of the new teeth. Aesthetics and comfort are the main criteria. If within a year after the operation you did not have any problems with either the prosthesis or the implant, then the doctor did his job correctly.

Prices

Average prices in dentistry:

• implantation of one titanium implant - 25,000 rubles;
• abutment installation - 7,500 rubles;
• a single crown on an implant (cermet) - 20,000 rubles;
• bridge prosthesis for 2-3 teeth - 40,000-45,000 rubles;
• full prosthesis for the entire jaw - 80,000 rubles.

If the installation of dental implants is expensive for you, you should consider the option of traditional removable prosthetics. But remember that this method is inferior in quality and durability.

To weigh the pros and cons, contact your nearest implant and prosthetics center. As a rule, the initial consultation of a specialist is completely free.

A patient who has lost a bad tooth, on the one hand, is glad that he no longer hurts, and on the other, feels his irretrievable loss. In place of the lost organ, it is very important to install a new artificial one, this will avoid many dental problems.

But how to restore teeth is not an easy question. Often the patient faces a dilemma - implantation / prosthetics of teeth.

Which is better, implantation or prosthetics?

What is better, an implant or a prosthesis, in any case, the doctor will better determine. The picture that has developed in the oral cavity of a particular patient is clear enough for him, which will help him make the right choice in favor of a more appropriate method of solving the problem.

Consider both methods of restoring teeth. What is the difference between prosthetics and implants?

The indications for using these two methods are no different. In both cases, the main goal of the procedure is to restore teeth.

With simple prosthetics, in order to replace a lost tooth with an artificial one, it is necessary to grind at least 2 adjacent teeth that will hold the installed one. When installing an implant, neighboring organs are not affected.

What can missing teeth lead to?

Each tooth is very important for the entire dentition and the jaw as a whole.

When a tooth is lost, various complications can occur:

1. The teeth are crooked, the bite is broken. Neighboring teeth move towards the missing one, and a tooth on the opposite side may protrude towards the missing one. The displacement of the teeth, in the absence of neighboring ones, can turn them around their axis. And the gaps between the teeth counteract the normal closing of the jaw, which can lead to diseases of the masticatory muscles and jaw joint.
2. The remaining teeth are destroyed. Organs that are shifted and unfolded can often be prone to corrosion, because large gaps can trap food particles, contributing to the emergence of microbes.
3. Possibility of gum disease. The tissue under the lost tooth atrophies over time, while the gum changes its relief and can sag, which will negatively affect the patient's smile.
4. Violations of the functions of chewing food. When the patient does not have enough teeth, he is forced to swallow food that is not properly processed by saliva more quickly. And saliva enzymes contribute to the processing of food even in the oral cavity. When this process is disturbed, the pancreas and duodenum can be overloaded. This can lead to diabetes or an ulcer.
5. Speech defects. Lack of teeth, especially the anterior incisors, results in a nasal and lisp when speaking.
6. Violation of the shape of the face. A patient who is missing many teeth may change in appearance. The lower part of his face drops, provoking the drooping of the corners of the mouth and the deepening of the nasolabial folds. The face looks older, the chin is protruded, there is a retraction of the upper lip and pronounced wrinkles around the mouth.
7. Violation of the mental state. A person who has no front incisors often has complexes about this, his self-esteem decreases, he becomes insecure and tries to avoid other people. All of these can lead to mental illness.

These problems do not occur immediately after the loss of a tooth, but, unfortunately, over time they are inevitable.

All the pros and cons of implantation

The use of implants is a not so old method. It appeared several decades ago. During this time, technologies are being improved and a lot of new implants, methods of their installation, as well as special equipment appear on the world market.

Consider the pros and cons of this procedure.

Advantages of implantation:

1. No impact on adjacent teeth.
2. The aesthetics of the entire dentition increases.
3. Durability (some types can last until the end of life) and structural strength.
4. Even with the complete absence of teeth, it is possible to restore the entire dentition. The prosthesis on several implants looks natural, like a real dentition.
5. The prosthesis on the implant maximally (almost 100%) repeats the functionality of a living organ.
6. Implantation can be used when one or more teeth are missing, as well as with complete adentia.

Indications for both treatments

A few years earlier, implantation had quite severe contraindications. Modern technologies and equipment have reduced these contraindications to a minimum.

On a note: Diseases such as blood incoagulability and diabetes mellitus used to be a ban on the installation of implants, today implantation is already allowed for patients with such diseases.

In order for the implantation to go without consequences, it is important for the patient to be carefully examined and properly prepared for the procedure, then listen to the doctor, follow his advice and undergo a rehabilitation course.

What will last longer: implantation or prosthetics?

The implant itself can serve a person until the end of his life, but the crown installed on it lasts 10-15 years. The service life of a bridge prosthesis is up to 7 years.

They cause some problems and need to be changed periodically.

Criteria for correct prosthetics

With proper prosthetics, 2 most important tasks must be completed:

1. Restoring a missing tooth and its functionality.
2. To give the smile or internal dentition the most aesthetic appearance.

What does prosthetics offer the patient?

The procedure of prosthetics also has pros and cons.

Positive sides:

1. Affordable price compared to implantation.
2. If it is necessary to replace from 1 to 3 teeth, a bridge is placed, restoring the dentition and outwardly very similar to the real one.
3. Constant improvement of this method of restoring teeth and the emergence of new, better methods and materials. For example, scientists are already proposing new methods that do not require grinding of abutment teeth, and also, the use of which does not affect the patient's speech in any way.
4. Almost complete absence of contraindications.
5. The risk of complications is minimal.

Negative sides:

• you can install a bridge for a maximum of 3 consecutive teeth;
• it is contraindicated to create a large load on the bridge;
• rapid wear of supporting teeth;
• rapid thinning and the possibility of bone atrophy under the prosthesis;
• short service life (up to 10 years);
• the need for careful care of the prosthesis. Constantly you need to make sure that there are no pieces of food left under it.

Having considered all the pros and cons of implantation and prosthetics, it is easier for the patient to make a choice in favor of a particular procedure, but it is important to understand that a doctor's consultation is needed before deciding on the procedure. He, depending on the characteristics of the problem, will select the most appropriate method of its treatment.

Reasons why you need to restore a tooth

When Tooth Restoration Is Needed:

• declination of missing teeth to the place where the missing one was due to an increase in the load on them;
• chewing problems. Often you have to give up certain products;
• reduction of gum bone and loss of aesthetics of the dentition;
• speech disorder. Wrinkles in the place of the lost organ.

The best way to restore teeth

The main indicator due to which patients choose implantation is the ability of the implant to interact with adjacent teeth, which is a consequence of the correct chewing process. Another plus of this procedure is the preserved functionality and aesthetic appearance of the dentition.

The high cost of implantation is often considered a disadvantage of this method. But it should be understood that once the procedure is carried out, it can solve the problem of losing a tooth for life. Whereas, a conventional prosthesis serves a much shorter period of time (maximum 10 years).

How to make the right choice?

In order to understand the essence of prosthetics and the installation of implants, we will consider some problems that can be resolved by either method.
Loss of one tooth:

1. To install a bridge, you need to grind the adjacent teeth.
2. During implantation, the teeth will remain intact.

Loss of several adjacent teeth:

• to install the bridge, grinding of adjacent teeth is also required;
• there will be no impact on adjacent teeth during implantation.

Loss of teeth not located nearby:

1. When prosthetics will require the installation of several bridges with the obligatory grinding of adjacent teeth.
2. During implantation, lost teeth will be restored, and neighboring ones will remain intact.

Loss of extreme teeth in a row:

• of the methods of prosthetics, only a removable prosthesis can be used, and this is not entirely reliable and convenient;
• when implanted, they will be installed, securely fixed and durable.

Full adentia (when there are no teeth at all):

1. Only a removable prosthesis can be used. It will have to be attached to the gums, which can lead to rubbing and discomfort.
2. You can insert several implants, and install a removable prosthesis on them.

How much do structures cost?

We offer an overview of turnkey prices in Moscow clinics for dental implantation (prices are in rubles):

For prosthetics:

Afterword

What is still better: prosthetics or implantation?

An expert will help you resolve this issue. Based on the x-ray of the oral cavity and other types of examination, he will be able to choose the most suitable option for a particular patient, through which lost teeth will be restored. Guided by all the recommendations of the doctor, the patient can already make a final decision.

New teeth in three days is real! A detailed video on how dental implantation works in the patient's review.

Dental prosthetics is the final stage in the treatment with implants. Dental implants are implanted into the bone tissue, during the introduction of which the doctor establishes the base. It will be used to fasten prostheses. Do you want to return to normal life and become the owner of a dazzling smile? In this case, you need orthopedic structures that solve not only functional, but also aesthetic issues. Find out what stages of prosthetics on implants exist, what you need to know before the procedure!

Dentures on implants are of 2 types:

• removable;
• fixed.

In most cases, patients choose a non-removable type of dentures on implants, which has managed to earn trust and become especially popular. Thanks to this treatment, it is possible to make a complete restoration of the lost chewing and aesthetic functions. In turn, removable prosthetics are distinguished by some inconveniences when using them.
Indications for fixed dentures on implants
In general, fixed prostheses on implants with a screw connection are appropriate in the absence of one or more teeth in a person.

The manufacture of such products for prosthetics can be carried out from various materials, among which are the popular zirconium dioxide, plastic, as well as a combination of metal and ceramics - cermets.

Cases of using fixed prosthetics

1. 1. Missing one or more teeth in a row

1. To support bridges (dental bridges), there is a strong grinding of the teeth located in the neighborhood. Implantation, on the other hand, keeps the adjacent teeth intact. There is no guarantee that the teeth under dental bridges will be suitable for the next prosthesis. The question of what is better prosthetics on implants or a bridge prosthesis disappears by itself.

1. It is considered appropriate to use a bridge prosthesis if the teeth located next to the missing one are 50% destroyed or they already have fillings.
   1. Unilateral or complete edentulous

Over time, teeth wear, enamel weakens, caries develops, and to this is added insufficient hygiene and the spread of harmful bacteria throughout the oral cavity.

Since the main load falls on the chewing teeth, due to the problems listed above, they usually suffer first, because of which the chewing function is disturbed, bone areas atrophy in place of missing teeth, and ultimately the entire bite as a whole suffers.

Severe periodontitis is one of the most common causes of loss of the entire row of teeth in one jaw or both at once.

There are three key methods of dental implantation:

• classical 2-stage implantation with delayed prosthetics;
• one-stage implantation with instant prosthetics.
• Mini-implantation of teeth: gives additional fixation to removable dentures.

Classic 2-stage implantation

Prosthetics on implants stages of classical implantation

Classical 2-stage dental implantation has forty years of experience. This method is the most common around the world. The method consists in the fact that the fusion of the implant with the jaw bone tissue must occur. And only after that is the load with a crown or prosthesis. Due to such implantation, various problems of the oral cavity can be resolved: the lack of one or more teeth in different places, or their complete absence. Implants, which are installed according to the traditional method, allow the installation of various types of prostheses, including conditionally removable ones.

The primary step in 2-stage implantation involves placing the implants in the bone tissue, after which the closure is performed with a special plug. The doctor determines whether dentures or crowns are required for a certain amount of time, and then the patient is allowed to go home for 4 to 6 months.

Before the procedure for installing the prosthesis, the plug is replaced with a gingival shaper. This stage is considered quite significant, since a bed is created for the upcoming crown with an abutment (adapter between the crown and the implant). After two to four weeks, the gum former is unscrewed, and the abutment is placed on top. This is followed by the standard work of an orthopedist: casts are taken, a crown is made in a special laboratory, after which it is fixed with cement or a screw.

With a 2-stage technique, the following stages and conditions are observed:

• bone tissue is built up in case of its shortage;
• if it is not possible to jointly build up bone tissue and install an implant, then it is necessary to pause for five to seven months;
• after the absolute integration of the implant into the bone tissue (a period of four to six months), prosthetics is performed;
• not in all cases, it is possible to install an implant in the hole of a freshly removed tooth. For this reason, after removal, a break is made for one and a half to two months.

Classical implants allow you to install any fixed prostheses, while achieving their maximum aesthetics.

Advantages of two-stage classical implantation:

1. prosthetics on a delayed-action implant minimizes the risk of artificial root rejection due to the absence of chewing load. This is both a positive and a negative fact, since the bone tissue regenerates faster as a result of pressure on it, but in some situations it is preferable to leave the implant at rest for the healing period;
2. a variety of implant systems allows you to choose the right products for a specific clinical case;
3. the possibility of choosing subsequent prosthetics on implants;
4. aesthetically better than other methods.

Disadvantages of this method

It is believed that the classic two-stage implantation will not give the patient an immediate effect, and as a result, due to significant costs for materials and additional operations, it turns out to be more expensive than one-stage implantation. But, even taking into account the above disadvantages, this method of implantation is considered the most significant from a functional and aesthetic point of view.

Implantation with instant prosthetics

Currently, a huge number of new methods of implantation are being practiced, which are different in the form of the selected implants and the methods of prosthetics. But at the same time, they all have the same essence - the installed implants must immediately be connected to each other into an integral structure by means of a prosthesis (temporary or immediately permanent). When using simultaneous single implantation, a crown is made that is removed from the bite and should not contain lateral contacts.

Stages of transgingival implantation

The key advantage of one-stage transgingival implantation is considered to be its instant implementation: the operation is carried out in only one doctor's appointment, and most importantly, after installation, you can immediately load the implants in the form of a prosthesis. In addition, the implant is implanted without cutting the gums. And on the same day or after a few crowns are installed on the implants.

The presented method of implantation is being developed, which allows, in some cases, to perform implantation, in which there is no need to additionally build up bone tissue if there is a shortage. One-stage implants can be implanted at a certain angle to avoid the most difficult areas of bone tissue atrophy and to maintain parallel bite of the patient. In addition, on the day of the procedure, you can immediately carry out dentures.

Immediate implantation: in one session, implants are placed and dental prosthetics are performed

Currently, there is a trend towards the method of one-stage implantation with prosthetics in a few days. It is mainly applicable when a person is missing all teeth, the loss of only abutment teeth after dental bridges or periodontitis (chronic generalized).

The technique under consideration involves the use of different implants installed in different ways. In particular, screw implants are installed in the amount of four to eight pieces per jaw. It is essential that after the procedure, it is necessary to install implants by means of a prosthesis (temporary or permanent).

Based on the indications, with complex implantation during one operation, it is possible to remove the affected teeth when installing implants. However, with a strong loss of bone tissue, it will still not be possible to avoid building up. All on 4 are two-stage implants, after engraftment, a prosthesis is placed on them, which is fixed on the implants by screwing screws through 2 crowns and the inner part of the gum of the prosthesis.

Advantages of the method:

1. in one visit, it is possible to perform implantation of the entire jaw;
2. prosthetics is carried out within a few days;
3. there are options without bone augmentation;
4. since the patient starts chewing food immediately, the bone receives pressure and nutrition, therefore, the engraftment period is shorter than that of two-stage implants;
5. it is possible to remove the affected teeth with the direct installation of implants;
6. on the seventh day after the operation, chewing function is already restored;
7. compared with classical implantation, it is relatively small.

However, there are also disadvantages:

• while the implants take root (from 2 to 6 months), you must follow all the doctor's instructions and be a fairly responsible patient, gradually increase the load on them;
• this method is applicable for the rapid restoration of chewing ability, and only then for an aesthetic solution to the issue.

Mini dental implants

With such implantation, thin one-piece implants of small sizes are used, which are fixed in the bone tissue (minimal damage) due to tissue puncture. Healing is extremely fast, which means that the prostheses are installed immediately after the operation. Due to their thinness, mini-implants cannot withstand a lot of pressure, so only light removable dentures are fixed on them.

However, for complex edentulous, mini-implantation is not the best solution, although it has a low cost and an uncomplicated operation. The size of artificial roots is very small, as a result of which they cannot fully fulfill the functions assigned to them - bone atrophy still occurs. Mini-implants begin to become mobile, and dentures sag altogether. This option can be used to restore teeth up to ten years, but not forever.

Video review of the patient about the restoration of teeth using a fixed denture

Indications for a removable type of prosthesis on implants

This type of prosthetics is considered acceptable for significant jaw defects: most of the teeth are missing or they are completely absent. Fixation is performed reliably and quite firmly, but if there is a need to remove the prosthesis from the implant, this can be easily done.

Removable prosthesis: types

During dentures, implants act as a supporting surface, and removable dentures are fixed on them. Their advantage is that they are relatively cheap compared to fixed structures.

• beam construction;
• spherical fixation on implants MIS, Alpha Bio, as well as Nobel and others;
• screw mount, such as All-on-4.

Methods for attaching removable prosthetics based on implants are of three types:

• • Fixation on spherical locks. The top of these structures is a ball, which is the main attachment for new teeth. The second part of the castle is hidden in the artificial gum of the prosthesis. They can also be used to provide additional support for removable dentures.
  • Fastening on beams- the technology consists in the fact that several installed implants are combined with one metal beam. A similar design is installed on a removable prosthesis. The connection occurs due to snapping, after which the prosthesis is already firmly attached to the implants. Such fastening is acceptable if the entire jaw (upper or lower) is replaced with a removable prosthesis. Several implants are placed on the gum (one jaw has 4-6 implants).
  • screw fastening- a technology that allows you to restore the entire dentition without the mandatory installation of an implant for each tooth. 4 implants act as a support for the installation of a conditionally removable prosthesis. The considered fastening implies that the crown with the adapter will be connected outside the oral cavity. This is followed by screwing the structure to the implant by means of a screw. The screw passes through a through hole located in the chewing surface of the crown. Once the crown is fixed on the implant, the hole is closed with a composite made in the same color as the crown. Screw fixation has the following advantages: landing on the implant is carried out with maximum accuracy, a minimum of technological gaps, if necessary, it is possible to remove the prosthesis. Therefore, such prosthetics are advantageous, since there is a strong fixation.

Basal implantation of teeth in 3 days: an alternative to removable dentures! Video review of the patient about implantation for 3 days.

Contraindications

1. Increased risk of mandibular nerve injury during surgery.
2. With teeth grinding, implantation can only be carried out if mouthguards are put on the teeth at night.
3. With uncontrolled type 2 diabetes.
4. Cardiovascular diseases, smoking, exacerbation of HIV infection.

What are the complications?

• Implant rejection caused by the mistakes of the surgeon or the rejection of the body of a foreign object.
• In the first year after the procedure bone level atrophy in the area of ​​the implant more than 1 millimeter and from next year - the recession increases by 0.2 millimeters per year.
• Peri-implantitis. Inflammation of bone tissue and / or bone in the area of ​​the implant, which leads to loss of bone tissue in the area of ​​the implant or its rejection.

Surgery cost

Average prices for surgery for a classic two-stage implantation, while not taking into account the cost of the crown:

• one MIS implant - from 35 thousand to 50 thousand rubles.
• one Astra-Tech implant - from 40 thousand to 70 thousand rubles.
• one Alpha-Bio implant - from 12 thousand to 26 thousand rubles.
• one Nobel Biocare implant - from 24 thousand to 35 thousand rubles.

Dental implantation is a real revolution in dentistry. Mankind has been trying for many years to create an artificial model of a natural tooth. A huge step forward was prosthetics through bridges. Now implants are replacing bridges. The main difference between implants and bridges is that they look and feel like a natural tooth. This is exactly what patients want.

For many people who have lost several teeth, their quality of life deteriorates several times over. In this case, a potential patient of the dental clinic is lost in a situation where he has to choose the type of prosthetics. Therefore, the question of what to do, an implant or a bridge becomes relevant - which will be better in a particular situation? Indeed, on the one hand, I want to save at least a little, because now the implantation process is quite expensive. On the other hand, forget about going to the orthopedic dentist for as long as possible. Therefore, let us consider in more detail what each of the mentioned types of prosthetics is, in order to weigh their possible positive and negative sides, answering our own questions.

- what is this?

Usually in the people they are called by the short word "bridge". These are some dental structures that got their name because of the special form of fastening. They are crowns made of a variety of materials that can completely replace non-existent teeth. Such structures are attached to adjacent teeth, which are called abutments. It was this fastening system that gave the prosthesis the name - the bridge.

Why choose a bridge?

It is necessary to carefully understand how to make the right choice: an implant or a bridge? What will be better in each individual case? In order not to make a mistake, you need to know what are the advantages and disadvantages of a bridge prosthesis.

There are certain situations where a dentist may recommend replacing teeth that no longer exist with these dentures. The indications for this are as follows:

• when one or more teeth that were previously located in the neighborhood are missing;
• when the patient does not have the financial ability to agree to dental implantation;
• when it is not possible to install an implant due to some chronic disease, not a very good condition of the mucosa, looseness of the alveolar bone.

Depending on the desire of the patient, medical indications and the location of the bridge, the crown part can be made of dental resin, metal, zirconium dioxide and metal-ceramic.

The undoubted advantage of this type of prosthetics is its affordability.

Minuses

True, there are many more disadvantages. They are:

• due to the fact that there is a certain technological feature of fixation, it becomes necessary to damage the supporting teeth; over time, the crown, which the doctor will put on cement, will gradually loosen, food debris will fall under this crown, which will contribute to the appearance of caries on the abutment tooth;
• if the patient decides to put a bridge, then he must be prepared that this will be a rather long and multi-stage process, because if necessary, the doctor will treat supporting teeth, remove teeth or roots that cannot be restored; only after the gums have healed (and this will take one to two months), he will begin prosthetics directly (this will also take at least two weeks);

• it will take a long time to get used to the bridge prosthesis, besides, at first, discomfort can often occur, because the bridge can put pressure on the gum, cause pain in the part where the abutment teeth are located;
• since the necessary load will not be given to the bone, over time it can sag and become thinner.

We study implants

Dental implants are much more advanced, and therefore more expensive dental structures. Despite the money spent, after installing them, you can forget about this procedure for about 15-20 years. Which is also important. Especially when you consider that most patients do not like to visit dentists. In addition, if the patient decides to use dental implants, he will have several more advantages:

• you do not have to process the teeth in the neighborhood;

• the load that will be carried out on the gum bone is almost the same as the natural one; if prosthetics are carried out soon after tooth extraction, that subsidence will be very slight;
• quite real quick prosthetics - reducing the entire process by one and a half to two months.

The patient may not agree to this procedure, mainly because of its high cost (you can find out how much it costs to put an implant in any dental clinic, the minimum cost with installation is approximately $ 215). Therefore, most choose the bridge, despite the fact that it has many disadvantages.

What are the types of dental bridges?

Before making an important choice: an implant or a bridge (which is better), you need to learn more about it. Often, the more an ordinary person who is not a specialist knows about this, the easier it is for him to make a decision based on the advice of his attending physician.

So, we have already found out that dental bridges are considered to be a structure that is fixed on implants or adjacent teeth. This A length of the bridge will be as many teeth it will replace - one, two, three and more.

In orthopedics, there are which can be distinguished by the way they are attached in the oral cavity:

• dental bridges that are fixed on implants;
• bridges with so-called lock fasteners;
• bridge dentures, which are fixed on healthy abutment teeth;
• adhesive bridge prostheses.

We understand carefully

When dental bridges are attached to implants, no harm is done to healthy teeth, because grinding is not necessary in this case.

The same careful attitude to healthy teeth can be observed when installing a dental bridge with a lock, because special locks are used here. Such prostheses can be removed if necessary, and the structure itself will not suffer.

When the prosthesis is attached to the supporting teeth, then such a bridge is a system of crowns, in which there is a hole for installation on the teeth intended for this, and a bridge connecting the teeth. The crowns that make up the jumper are usually made in one piece so that they are more durable.

Adhesive dental bridges differ in the way they are attached. Using special composite materials, they are carefully attached to the back of the teeth. Their only drawback is a short service life - approximately five years.

This is how dentures work. The bridge will be a great way to restore normal chewing.

Choose carefully

From the above, it becomes clear that the story of dentures is not new. During the time that they are used to ensure that the patient experiences as little discomfort as possible, several types of bridges have been created, each of which has its own advantages.

Let's pay attention to designs that do not have a metal frame. These are ceramic bridges. Yes, their strength is somewhat less than that of metal or metal-ceramic ones, but if we consider the question of the external impression, then bridges of this type definitely come first. The specialist can easily adjust the color of such a prosthesis to the color of the patient's teeth, as a result of which it will be quite difficult to distinguish it from a living tooth. A ceramic bridge on the front teeth is chosen by those who want to look attractive.

But there are problems with other teeth, where the appearance is not as important as "working strength and endurance." And again a dilemma arises: what is better to put - a bridge or an implant - on

Modern methods of treatment allow to solve any problems associated with the absence or significant destruction of teeth. However, when choosing a restoration method, the patient often asks the question: which method of dental prosthetics is better? Implantation or prosthetics?

Undoubtedly, implantation is better than prosthetics, it is a more popular procedure, since it restores teeth naturally and functionally. But much depends on the specific situation: on the individual characteristics of the patient's jaw system, the professionalism of the doctor.

First, let's explain the differences between the two methods:

• prosthetics is the replacement of lost teeth with removable or fixed structures made of various materials. They are fixed exclusively on the gums, if there are no teeth left in the row, or they cling to the abutment teeth with hooks - this applies to removable dentures. Fixed models are mounted on a support in the form of roots or crowns of living teeth,
• Implantation is also a replacement for lost teeth. Despite the fact that this approach also uses prostheses (both removable and fixed), this method is wider. The prostheses are fixed on a support in the form of implants - metal roots that are implanted into the bone tissue.

Consider the advantages and disadvantages of each treatment method.

Classic prosthetics: advantages and disadvantages

When it comes to a significant absence of teeth, complete adentia or the inability to resort to fixed prosthetics, the patient is offered to replace the teeth with removable structures. They consist of a plastic base on which artificial crowns are fixed. Well-made removable devices look quite natural and aesthetically pleasing, mimic the look of natural teeth well.

The advantage of the method lies in its cheapness, simplicity, and the absence of contraindications. The installation of such a prosthesis does not require special serious preparation, it takes little time and can be performed without surgical intervention.

Unfortunately, the advantages end there, because removable structures have many disadvantages:

• are poorly held and can fall out during a conversation at the most inopportune moment, giving the patient constant discomfort and self-doubt,
• unevenly distribute the chewing load during meals: worsen the quality of nutrition and in some cases even have a negative effect on the digestion process,
• require a long addiction: cause rubbing of the mucous membrane, bleeding gums, problems with diction,
• their use does not eliminate bone tissue atrophy, and its gradual shrinkage leads to the need for constant correction of structures and their frequent replacement,
• short service life: the service life of prostheses with the most careful use does not exceed 5-7 years.

Fixed dentures, of course, are devoid of all the listed disadvantages of removable structures. They are fixed more reliably, look natural and natural, since there is no artificial gum in them. Do not rub mucous membranes. Here are just the indications for their installation are strictly defined: restoration of a destroyed crown or the absence of 1-3 teeth along with the root (in a row). In this case, a dental bridge is placed, but it is attached to two living teeth, which are preliminarily heavily ground, even if they are completely healthy.

Dental implants: advantages and disadvantages

Important! Implantation is an operation that involves implanting an artificial root into the jawbone. The implant fully performs all the functions of the tooth root and serves as a support for its upper part - the crown.

Implantation allows you to solve any problems - to restore one, several teeth or a full row. With single restorations, an implant and a crown are installed, with multiple restorations, the number of implants is noticeably reduced. So, there are treatment protocols that allow you to restore the full row in just 4 or 6 pieces. artificial metal roots. It all depends on the situation, the state of health of the patient and his jaw system.

In order to carry out dental implantation, significant preparation is required, which includes: testing, consultations with specialists, sanitation of the oral cavity, sometimes bone tissue growth (after all, after removing a tooth or wearing conventional prostheses, the bone sags, i.e. atrophies). The implant is installed surgically and it takes a long period of time for its engraftment - from 2 to 6-8 months. After that, you can attach a permanent prosthesis (before that, you need to wear a temporary structure).

On a note! Today, there are methods of implantation that allow you to abandon bone growth and fix the prosthesis immediately, bypassing the stage of wearing temporary removable structures. These are immediate loading implantation protocols.

The undeniable advantages of implantation, compared with conventional prosthetics, are as follows:

1. efficiency: the implant fully performs the functions of a lost tooth root, evenly distributes the load on the bone tissue during chewing, involves all its layers and does not allow the tissue to atrophy,
2. high aesthetics: the variety of materials used for the manufacture of implant-mounted crowns allows artificial teeth to look flawless,
3. comfort: removable and fixed prostheses on implants are securely fixed in the oral cavity,
4. quality and durability: artificial roots can serve throughout the life of the patient.

Naturally, implantation has its downsides. The main one is cost. This is an expensive pleasure, not available to every patient. However, in the long run (after all, implants will last at least a couple of decades), this method turns out to be a good investment. Another disadvantage is the restrictions on implantation. Treatment involves surgery, and sometimes even more than one, so there are very specific health conditions that can lead to complications after the installation of implants. Therefore, they are contraindications for treatment.

Important! Since the treatment costs quite a lot of money, before implanting teeth, you need to carefully study the options where the best dental implantation is performed. After all, 90% of the success of treatment depends on the professionalism of the doctor and the equipment of the clinic.

How to choose a clinic for dental implantation

There are a large number of dentists that are ready to offer the service of dental implantation. To determine where it is better to do dental implantation, the patient needs to pay attention to some points:

1. Experience of a medical institution. It is better to contact clinics that have proven themselves and have existed for a long time.
2. Personnel qualification. The specialists performing the treatment must have experience in successfully carrying out such operations, confirmed by various certificates and patient reviews. It is also recommended to give preference to those doctors who inform the patient about all aspects of the procedure, in detail and competently answering important questions.
3. Equipment. Modern equipment, the availability of diagnostic equipment will make dental implantation more accurate, safe, comfortable and of high quality. The use of protective equipment (shoe covers, masks, gloves, diapers, caps) guarantees the sterility of the operation and reduces the risk of complications after it.
4. Location of the clinic. It must be remembered that implantation involves surgery and anesthesia. You will also need to repeatedly visit the implantologist. The convenient location of the medical center saves time and makes the process more comfortable when you want to get home as soon as possible after the operation.
5. implant models. The most correct choice will be made in favor of dentistry, offering several brands located in different price categories and satisfying the needs of a wide range of patients. These can be both expensive Swiss models and budget designs of American or Israeli production. Which system is better - it is impossible to say unequivocally. First of all, a doctor should be able to work with a brand.
6. Quality assurance. The presence of a quality certificate for the implant and documents confirming the guarantee of the work of specialists indicate that the clinic is ready to be responsible for the quality of the services provided and be responsible for the work of its implantologists.

The best clinics in Moscow

It is rare to find an institution that successfully combines all the advantages at once. It is especially difficult for residents of the capital to make a choice, because dental implantation in Moscow is offered by so many clinics.

When choosing a clinic, you can easily get confused, so we recommend paying attention to the most popular ones. Experienced doctors work in the centers listed, there is all the necessary equipment for implantation - these are the clinics where it is better to do dental implantation and which are primarily recommended by the patients themselves.

If you choose between implantation and prosthetics, then in the absence of contraindications, it is definitely better to make a choice in favor of dental implantation. The high cost of the method will more than pay off with an unsurpassed result, and a perfect smile will delight for many years.

Learn about a patient's experience with Immediate Load Dental Implants at Smile-at-Once Dentistry