What is a Dental Prosthesis?
Dental prostheses used to replace lost teeth are custom-made for each individual. The dental prosthesis, produced according to the patient’s personal needs, must fit perfectly in the person’s mouth, look natural, and be easy to use. Dental prostheses can be used to replace one or more lost teeth, or even all teeth. However, in dental prosthesis applications, preserving the existing teeth in the patient’s mouth is a priority. Dental prostheses are produced in shades that best match the person’s bone color. This gives the prosthetic teeth a natural appearance. The main goal of dental prosthesis application is to restore the person’s lost chewing function. Restoring the person’s chewing ability also improves their quality of life. In addition to all this, the psychological effects caused by broken, discolored, or misshapen teeth are also eliminated.
Dentures
İçindekiler
Implant-Supported Prosthesis
Single tooth loss or total edentulism can be resolved with implants and prostheses designed for them. The root cause of the problem is tooth loss, so implants must be placed in a way that allows for the loading of a healthy tooth. Implants placed in the wrong position cannot be expected to function properly or look good. Planning should be determined before implant placement, if necessary with 3D X-ray analysis, and implants should be placed in positions suitable for the prosthesis system to be placed on them. Planning becomes even more important in completely edentulous patients. These procedures require careful and meticulous work from the initial planning stage to the delivery of the prosthesis.
What Are the Types of Implant-Supported Prostheses?
The types of prostheses that can be applied to implants are generally divided into two categories: Fixed and Semi-Removable.
Fixed Prostheses
These are fixed, immovable prostheses that cannot be removed by the patient. The dental crown is secured to the implant body using a bonding process called cementation or with the help of screw systems. In this way, individual crowns can be made, or hybrid prostheses covering the entire arch can be applied. The implant parts to which the crowns are attached are called abutments. Different additional components can be used to preserve the natural appearance of teeth in aesthetic areas. For example, zirconium connection elements are used to prevent metal reflection and achieve an appearance almost identical to that of teeth, and zirconium veneers are applied on top. It is one of the most aesthetic implant-supported treatments. It is mainly used for single tooth loss in the front region.
Removable Prostheses
It is generally used in cases where factors preventing us from making a full fixed prosthesis are present in completely edentulous patients. It is more affordable than implant-supported full fixed prostheses and requires less surgical intervention and fewer implants. Severe loss in the posterior molar region due to age is tolerable with this type of prosthesis. Planning is done with detailed examination using tomography. Implants are positioned more anteriorly, and there is usually sufficient bone in those areas. In terms of prosthesis shape, they are more elegant than classic total dentures; the area covering the palate in the upper jaw denture is absent in this prosthesis. The sense of taste is not adversely affected. The temperature of food can be felt. These are much more comfortable prostheses. Considering the movement of the tongue and cheek muscles, a removable prosthesis that does not receive support from teeth or implants cannot be used efficiently and comfortably.
Fixed Implant-Supported Prostheses
Even in completely edentulous patients, successful results can be achieved with the appropriate bone condition and the necessary number of implants. While this may vary from person to person, under ideal conditions, 8 implants in the upper jaw and 6 implants in the lower jaw are sufficient. In short-arch treatments, where we aim to restore all teeth up to the first molar, a total of 12 implants are sufficient. A total of 24 teeth are placed on these implants. Gum recession is often observed in completely edentulous patients, and aesthetic improvements are sought using pink ceramics.
What is the ‘All-on-Four Technique’?
The All-on-Four system, also known as the four-implant system, was first developed in 2003. Although not as old as the history of implants, the system is widely used today and satisfies many patients. It is a procedure in which a fixed prosthesis is placed on 4 implants placed at an angle in patients with excessive bone loss who cannot use prostheses and want fixed prostheses. Another philosophy of the treatment is to fit the patient with temporary teeth on the day the implant is placed. Beautiful results are achieved through serious and systematic teamwork.
How is the All-on-Four Treatment Performed?
It requires serious planning before treatment. All conditions and limitations necessary for standard implant application apply. The patient’s systemic condition and intraoral conditions are important. Structures are examined in three dimensions using tomography, and if necessary, a guide system is prepared to guide the implant. If there are teeth in the mouth and implantation will be performed after the teeth are extracted, the teeth are measured before the operation, and preparations begin for the fabrication of a temporary prosthesis with a suitable closure. The implants are placed, the temporary prosthesis is fitted, and the first stage of treatment is completed.
It is the ideal system for those who are completely toothless or will become so, and who request teeth, even if temporary, immediately after the operation.
After the operation, the doctor’s recommendations should be followed to the letter, and the prescribed medications should be taken regularly. Oral care is the most important issue, as it is with any treatment. Eating foods other than soft foods with temporary prostheses can cause problems with the implants.
In the event of an abnormal situation or problem, contact your doctor. The duration of temporary prosthesis use may vary from case to case. It is known that a minimum of 3 months should be waited.
What are the advantages of the All-on-Four technique?
- The biggest known advantage is that a temporary prosthesis can be made on the day the implants are placed. This means there is no period of being without teeth.
- There is no need for advanced surgical procedures such as sinus surgery and waiting for bone formation afterwards.
- Implants are placed in a single session. The total treatment time is shorter.
- Under ideal conditions, the surgery time is shorter than other full fixed implant surgeries.
- Fewer dental implants are used, making the price more affordable. The prosthesis placed on top is almost the same price.
- It is more aesthetic because it allows for smile design and can be applied to the entire jaw. It allows for pink porcelain work on the gums.
- When done with hygienic techniques, it is easy to maintain and clean.
- It is suitable for those who cannot use removable prostheses.
- It does not cover the patient’s palate, does not interfere with the sense of taste, and is easier to get used to.
How Many Implants Are Required for a Fixed Prosthesis?
The length of the dental arch and the prosthetic planning are important. If all-on-four systems are suitable, treatment can be performed with a total of 8 implants. Full fixed prostheses can be applied with 6 or 8 implants in the upper jaw and 6 implants in the lower jaw.
Ball-Retaining Prostheses
This system was widely used in previous years but has now been replaced by Locater-connected dentures. It is a type of denture designed to be placed on at least 2 teeth in the lower jaw and 4 teeth in the upper jaw. It offers a high level of comfort for speaking and routine social activities. Although it is much more comfortable than total conventional dentures, the retainers cannot fully stabilize against the vertical forces applied to the lower jaw.
Locator Retainer Prostheses
These systems are much more advanced than ball retainers and can provide force balance. Sufficient stability can be achieved with 4 implants in the upper jaw and 2 implants in the lower jaw, placed in the appropriate positions. In certain special cases, a third implant may be considered for the lower front region. The prosthesis does not come out of the mouth, pop out, or move around during eating unless the user wants it to. This is a great comfort, especially for completely edentulous patients who have used the classic denture system. There is no lifting on the left side when biting with the right, or on the right side when biting with the left. They are slightly more expensive than ball retainers, slightly cheaper than bar retainer dentures, and much cheaper than full fixed implant-supported treatments. Patient comfort is high.
Bar-Connected Prostheses
It has very high stability. It provides sufficient resistance against all vertical and horizontal forces and distributes the forces applied to the implants. Like the Locater prosthesis, it does not come out unless desired, and the patient must apply force to remove it. Certain conditions must be met for this prosthesis to be applied. The patient’s vertical dimension loss must be measured. This is important for the placement of this bar system and to avoid aesthetic problems. In addition, the bone structure of the upper and lower jaws must allow for the placement of 4 implants in symmetrical positions. The intraoral parts of the implant are connected to each other with the bar system. The system inside the prosthesis is also locked to this bar with a sensitive retainer. In this system, all forces are distributed evenly. Patient comfort is high. In previous years, bar systems were tried on 2 lower teeth, but it was seen that they could not provide sufficient stabilization against vertical forces, as in ball prostheses.
Bar Over Locator Prosthesis
This system is generally used when implant positions cannot be adjusted according to static principles due to bone deformities and defects. It has all the advantages of the Locater and bar system. The price is slightly higher because the cost of the bar is added to the cost of the Locater.
What Are the Advantages of Implant-Supported Dentures?
The foundation of all of this is accurate diagnosis and planning. Well-executed implants and the prostheses placed on them significantly improve quality of life.
- Implants and the prostheses on them transmit force to the bone tissue and prevent bone loss. Remember that bone loss will occur in areas with missing teeth.
- In single-tooth implants, no procedures are performed on the adjacent front or back teeth.
- It offers personalized, convenient treatment options, including fixed and custom removable prostheses.
- It is a lifesaver for those with no teeth and related problems.
- Smile aesthetics issues, front tooth loss, and aesthetic concerns can be eliminated.
- It allows for smile design where tooth shape and size can be adjusted as desired.
- Prostheses made under appropriate conditions and with the
The importance of your oral care and routine dental check-ups is significant in ensuring the longevity of these advantages and the health of your prosthesis.
What Are the Advantages of Implant-Supported Removable Dentures?
The advantages of removable dentures on implants can be listed as follows:
- Stability: It cannot move freely in the mouth on its own.
- Retention: Retention and stability are much better than with traditional systems.
- Comfort: It offers a more comfortable life.
- Chewing Force: It allows for more effective chewing and grinding.
- Easy Adaptation: The adaptation process is much shorter.
- No Disruption to Speech: The patient adapts quickly because the prosthesis does not move in the mouth and regains normal speech in a short time.
- Bone Protection: Bone loss is much less because the entire load is not placed on the soft tissue and indirectly on the bone.
- Size: It is prepared to be more refined and smaller than classic prostheses.
- Removability: It can be easily removed and cleaned by the patient when necessary.
How Long Do Implant-Supported Prostheses Last?
It is not possible to predict the exact lifespan of any of these treatments. However, the type of prosthetic material used and the patient’s attention to the prosthesis and oral health are very important. Under ideal conditions, prostheses can be used for a lifetime.
What Are the Prices of Implant-Supported Dentures?
Implant-supported prosthetics encompass many treatment options. These include full fixed porcelain crowns, bridges, hybrid prosthetics, all-on-four systems, locator, ball, and bar-retained prosthetics. Prices vary for all of them. Searching online for “2018 dental prices” will never lead you to the correct result. Once your dentist, who performs these treatment options, examines you and makes a detailed plan, the price will be finalized at the first appointment.
Fixed Dental Prosthesis
Fixed prostheses refer to non-removable dental restorations such as crowns, bridges, or implants used to replace missing teeth in the mouth. Unlike removable prostheses that can be taken out and put back in by the patient, fixed prostheses can only be placed and removed by dentists.
Fixed dentures, considered the gold standard for replacing missing teeth, can be used to replace an entire row of teeth in the upper or lower jaw, individual teeth, or both. Fixed dentures are carefully designed to resemble the patient’s natural teeth, providing a realistic appearance.
Fixed prostheses restore teeth using restorations that are permanently attached to the patient’s mouth. Also known as indirect restorations, fixed prostheses can be used to restore and repair one or more teeth or to fill relatively small gaps between teeth.
Fixed Protheses
What Are the Types of Fixed Prostheses?
Tooth loss, which can occur at any age for various reasons, can impair chewing function and negatively affect the patient’s appearance from an aesthetic standpoint. Therefore, following the necessary examination and diagnosis, it may be necessary to fabricate fixed prostheses using the best materials and with a design that complements the patient’s aesthetic appearance. Fixed dental prostheses, which are used to replace missing or damaged teeth, are bonded to natural teeth or artificial roots and cannot be removed by the patient. There are different types of fixed dental prostheses.
Crown Prosthesis
Over time, teeth can become damaged due to various reasons such as decay, trauma, or simply wear and tear. This can lead to deformation in the shape or size of the teeth. Dental crowns are tooth-shaped coverings that can be placed over the tooth in such cases. Crowns, which are new coverings for damaged teeth, can be made of porcelain-fused-to-metal or zirconium. Crowns, which are prostheses that mimic natural teeth, are placed over damaged or decayed teeth. Offering long-term and effective solutions for chipped, worn, or cracked teeth, crowns are considered a relatively permanent solution. Also known as caps, crowns last around 10 years if properly maintained.
Dental Bridge
A bridge is a type of prosthesis that can be defined as one or more artificial teeth called pontics, fixed to the natural teeth on either side of the gap, to close the gaps caused by missing teeth. Bridges are usually made of zirconium or porcelain to resemble natural teeth. There are different types of dental bridges, such as traditional bridges, cantilever bridges, and Maryland bridges. Traditional bridges, the most popular type of bridge, consist of artificial teeth held in place by dental crowns bonded to each abutment tooth. This method can be used when there are natural teeth on both sides of the gap created by the missing tooth. An extension bridge resembles a traditional bridge, but the missing tooth is supported by only one abutment tooth on one side. For a cantilever bridge to be made, it is sufficient to have only one natural tooth next to the missing tooth gap.
Laminate Prothesis
When teeth are misaligned, there is a noticeable gap between teeth, teeth whitening procedures fail to improve tooth color, and porcelain laminate veneers provide highly effective results in correcting minimal tooth irregularities. These veneers exhibit high resistance to wear and tear and, due to their structure, minimize the risk of staining on teeth. Also known as leaf veneers, laminate veneers are reinforced porcelains with a very thin, leaf-like structure that are bonded to the tooth surfaces with special adhesives after grinding healthy teeth. Laminate veneers can be applied without cutting the tooth, simply by grinding the front surfaces of the teeth to a thickness of 0.5 mm – 1 mm. The basic principle of laminate veneer application is to grind the tooth as little as possible.
What Materials Are Used in Fixed Prostheses?
The materials used in fixed prostheses are chosen based on the length of the prosthesis, the area where it will be used, and aesthetic expectations. We can examine the materials used in three parts.
Metal-Supported Prosthesis;
Metal-supported porcelain teeth are porcelain veneers in which metal alloys such as chromium, cobalt, and nickel are used as the substructure and the superstructure is shaped with a suitable porcelain system. Metal-supported porcelain veneers are a prosthetic option with a long history and proven success. Since the metal used as the substructure is not light-transparent, the porcelain teeth made on top may appear dull, and a dark gray band may form at the gum line. To meet high aesthetic expectations, the use of all-ceramic systems (zirconium teeth, laminate veneers) is recommended for the front region.
Zirconium-Supported Prosthesis;
Zirconium is a white metal that replaces the gray metal used as a base in classic metal-supported porcelain. The superstructure is shaped using special porcelain applied to it. This results in porcelain teeth that are translucent, highly durable, aesthetic, and natural-looking. Because zirconium is a white metal, it not only provides sufficient strength and resistance by supporting the porcelain, but also achieves the desired aesthetic expectations and success thanks to its light transmission properties. Zirconium porcelain teeth, which are particularly preferred in the aesthetic front region, can also be easily applied in the back teeth region where chewing forces are concentrated.
Empress Dental (Full Porcelain) Prosthesis;
Empress E-max crowns are one of the most aesthetic and reinforced forms of metal-free ceramics in dentistry. All-ceramic crowns mimic the light-transmitting properties of enamel in natural teeth. Thanks to this feature, all-ceramic crowns restore the appearance of natural teeth very well. They are made entirely of ceramic. Although zirconium crowns also contain no metal, their underlying structure is opaque, meaning that all-ceramic crowns provide a much more aesthetic result. Empress crowns can be used on front teeth and in areas that are not subject to excessive force.
What Are the Steps in Making Fixed Prostheses?
The stages of fabrication and placement methods for fixed prostheses may vary depending on the type of fixed prosthesis selected. However, there are certain criteria that must be followed during the fabrication stages. Before fixed prostheses are placed, the teeth adjacent to the tooth undergoing treatment must be prepared. In this context, if there is decay in the teeth, the decay must be cleaned and the teeth must be prepared for fixed prosthesis applications. The necessary measurements must be taken on the teeth to be restored, and a model must be made in the laboratory. Color determination must be made to obtain the closest possible appearance to the patient’s natural teeth. The fixed prostheses prepared in the laboratory should then be checked for compatibility with the adjacent teeth and tissues, and the patient’s approval should be obtained. Fixed prostheses sent to the laboratory for polishing should be tried in the mouth once more before being fixed. If there are no problems, the prostheses should be fixed in place to complete the process.
When is Fixed Prosthesis Used?
Fixed prosthesis is applied in cases where the patient has a single tooth deformity, a single missing tooth, or multiple missing teeth provided that there are teeth on the adjacent side(s). However, whether the patient is suitable for fixed prosthesis applications is determined on an individual basis following a detailed examination and X-ray imaging.
How Many Teeth Are Needed for a Fixed Denture?
The number of teeth required for a fixed prosthesis may vary depending on the type of fixed prosthesis to be applied. While fixed prostheses generally require strong, long-rooted teeth on both sides of the gap to provide retention, there are also types of fixed prostheses that can be applied to a single tooth.
How Many Sessions Does a Fixed Prosthesis Take to Complete?
The number of sessions required to complete fixed prostheses may vary depending on the scope of treatment, the materials used, whether veneers are applied, and similar factors. Fixed prosthesis treatment is usually completed in 3 to 4 sessions.
What are the differences between zirconium and metal-supported porcelain?
Understanding the differences between metal-supported crowns and zirconium crowns in dental treatment is one of the topics of interest for those who are considering having their teeth crowned. There are a number of differences between metal-supported crowns and zirconium crowns, which are two distinct methods of dental crowns.
- Durability: The standout feature of metal-supported porcelain teeth is their strength, enabling them to be used as bridges in large toothless areas. For example, if you have more than two missing teeth and a bridge is planned, metal-supported porcelain is preferred. This is due to their robust structure and ability to maintain resistance over a long period.
- Aesthetics: Zirconium is, in short, a white-coloured metal. It possesses many of the properties associated with metals. It is aesthetically superior and more biocompatible. In terms of natural appearance, it is more successful than porcelain teeth.
- Tissue Compatibility: Zirconium dental crowns are far superior in terms of aesthetic appearance, tissue compatibility and naturalness. Of course, it should not be forgotten that there are many quality options for zirconium. Provided that planning and measurements are done well, they are difficult to break when very long bridges are not made. More vibrant, natural results are achieved.
- Light Transmission: Metal-supported veneers are not light-transmitting. Their colours are cooler and more matt compared to zirconium crowns.
- Gingival Reflection: Metal-supported veneers use metal (grey) bridges to support the ceramic that will form the tooth shape. In zirconium veneers, this layer is white and does not create a dark reflection from the gums. It transmits light.
- Front Region Use: Zirconium veneers and other aesthetic veneers, laminates are generally used in cases of diastema (gap between two teeth) occurring in the front teeth, teeth with malformation, broken or worn teeth, and poor tooth colour changes. The use of metal-supported veneers, especially on front teeth, is decreasing day by day. Zirconium veneers, which are more aesthetically similar to natural teeth, can be applied to both front and back teeth. Your dentist will be best placed to decide which option is suitable for you.
- Excessive Tooth Reduction: Metal-supported crowns may reflect the opaque colour of the underlying metal support. If we wish to avoid this opaque reflection, excessive tooth reduction is required. With materials such as zirconium available, it is preferable to use aesthetic crowns rather than reducing more tooth structure. This can result in a dull appearance on the teeth. However, zirconium, which is semi-metallic, allows light to pass through, enabling the tooth to reflect its own colour. Veneers made with a metal backing require more tooth reduction. With zirconium veneers, there is less tooth loss. This provides a more minimally invasive and healthier result.
- Dark Gum Line: In teeth with metal crowns, problems such as gum discolouration due to gum recession may occur over time. Zirconium veneers provide high compatibility with the gums and can be used for many years.
- Cost: Metal-supported porcelain veneers are less expensive than zirconium veneers.
- Lifespan: Well-made veneers provide long-lasting results. It is not entirely accurate to state that zirconium veneers are definitely more durable, but they are much more suitable for gum and oral health.
- Use in Implant-Supported Prostheses: A metal framework may be preferred in implant-supported full-arch prostheses such as All-on-Four. As there is more space available for porcelain placement, it is possible to achieve aesthetic results with these prostheses as well.
What are the differences between zirconium-supported prostheses and E-Max (all-ceramic) porcelains?
Both options are treatments with high biological compatibility that we use with confidence in cosmetic dentistry applications. The methods we frequently use in our treatments enable us to achieve natural-looking teeth with high aesthetic value. Their common feature is that they do not contain any metal-type materials that could cause aesthetic problems and are produced using advanced systems to achieve the desired results.
- Durability: Zirconium coatings differ in terms of their underlying structure and are preferred when high resistance is expected in addition to aesthetics. In other words, if you have a toothless gap and a bridge is planned, a full ceramic bridge cannot be made, and zirconium is preferred. Again, we avoid full ceramics in those with high force and a tendency to clench their teeth.
- Aesthetics: For front teeth, if there are no missing teeth, all-ceramic restorations are preferred.
Is the Application of Fixed Dental Prostheses Painful?
As anaesthesia is administered to the patient during the application of fixed dental prostheses, depending on the type of treatment performed, no pain or discomfort is felt during the procedure. However, temporary pain may be experienced during the adjustment period following the treatment. In such cases, the pain can be alleviated by using painkillers recommended by dentists.
What Should Be Considered Before Fixed Prosthesis Treatment?
For the first hour following the permanent bonding procedure performed as part of fixed prosthetic treatment, very cold or hot beverages should not be consumed, and solid foods should not be eaten. If local anaesthesia was administered during bonding, care should be taken not to bite soft tissues such as the tongue, lips, or cheeks until the numbness wears off. Although you can eat and drink things with your fixed dentures that you would with your natural teeth, you should avoid foods that require excessive pressure on the area, such as cracking nuts or peanuts or opening bottle caps with your teeth. You may experience temporary sensitivity to hot and cold after your fixed dentures are fitted. To ensure that fixed dentures can be used for a long time and in a healthy manner, oral and dental care should be prioritised.
What are the prices for fixed dental prostheses treatment?
Fixed denture prices vary depending on the number of teeth to be treated, the material used, and any other dental treatments required. Zirconium-based dentures are more expensive than metal-supported dentures. E-max crown prices are also higher than zirconium-supported crowns. The cost of the material used and the labour cost are factors in determining the price.
What is removable dentures?
Removable dentures are structures that can be taken out and put back in, serving as functional replacements for missing teeth. Removable dentures used when all natural teeth have been lost are called full dentures. Full dentures are also known as false teeth among the general public. Partial dentures are used when some natural teeth are present and some are missing. The dentures used in this treatment, which are applied in two different types, classic acrylic dentures or skeletal dentures, are attached to the main teeth and held in place with wires called clasps. The wire retainers are visible when viewed from the outside. In cases where this treatment is not considered aesthetically pleasing, sensitive connection aesthetic denture treatment can also be applied. Apart from these types of treatment, there are also overdenture applications applied to natural teeth and tooth roots in the mouth within the scope of prosthetic treatment. This treatment provides stability and increases the retention of the applied denture to natural teeth or roots.
Removable Dentures
What is a Removable Denture? What are the Types of Removable Dentures?
Removable dentures are a common treatment option for missing teeth. Designed to replace missing teeth, removable dentures are supported by the soft and hard tissues of the oral cavity. More affordable than fixed dentures, removable dentures come in three main types: partial dentures, full dentures, and precision-connected dentures.
Full Denture
A full denture is generally used when most or all of the teeth in the jaw are missing. If there are a few natural teeth remaining in the mouth, it may be necessary to remove these teeth to ensure there is sufficient space for the denture. A full denture is designed to fit completely over the gums. It consists of a base in the colour of the gums, with 14 or more artificial teeth attached to it. As the base will cover the palate and gums, it is very important that it is compatible with the patient's mouth structure. Full dentures can be used to replace teeth in the upper jaw, lower jaw, or both. The success of a denture depends on enabling the patient to eat, chew, and smile normally without pain, discomfort, or anxiety.
Crocheted Partial Denture
Removable dentures are applied as ‘partial removable dentures’ if there are teeth in the mouth, and as ‘full removable dentures’ if all teeth have been lost. Partial removable dentures are supported by the remaining teeth. In full removable dentures, as there is no tooth support, the treatment is applied by taking support from the hard and soft tissues of the jaw.
Precision-Fit Dentures
Regardless of the type of denture used, replacing missing teeth aims to eliminate the individual's chewing, speaking and aesthetic problems. Partial removable dentures have parts called ‘clasps’ to provide tooth support. These parts may become visible if the supporting tooth is at the front. In such cases, a more aesthetic option without clasps can be applied using precision-connected dentures, commonly known as ‘snap-on dentures’. The health and number of existing teeth are important for this connection to be made.
Full Dentures
Dental prostheses are a treatment applied to patients who have lost all their teeth or teeth due to gum disease and cannot have fixed porcelain structures fitted to their teeth. Getting used to the prostheses in the first few weeks after they are fitted will occur as the oral tissues gradually adapt to the prostheses over time. Although you may encounter difficulties when putting in and taking out the prostheses, you can get used to this with a little practice. In addition, the advice given by your dentist plays a major role in this regard. Hard foods should not be consumed immediately after the new dentures are fitted. During the process of the dentures adapting to the tissue, bruises may form on the tissue. The adaptation process takes approximately 3 or 4 weeks. Once the bruises begin to heal, the dentures begin to adapt completely to the tissues.
Crocheted Partial Denture
Partial removable dentures are mostly used when there are multiple missing teeth in the upper or lower part of the mouth. For partial removable dentures to be made, the patient must have healthy teeth in the lower or upper part of their mouth. Partial removable dentures are not only used for cosmetic reasons. They also play an important role in improving the patient’s chewing and speaking functions. They also become an effective element in preserving the positioning of the remaining healthy teeth in the mouth. Otherwise, over time, changes in the positioning of the remaining healthy teeth in the mouth may occur. Partial removable dentures are plates with one or more false teeth attached to them. They can be made entirely of plastic or a mixture of metal and plastic. Both types may have clasps to keep the denture in place in the mouth. Depending on their location, some of these clasps may be visible when the patient smiles or opens their mouth.
Precision-Fit Dentures
Precision-retained dentures are often preferred when the clasps used in removable dentures cause aesthetic discomfort, particularly in the front teeth. The force applied to the teeth by the clasps used in partial removable dentures can lead to tooth loss in patients with insufficient gum health. In such cases, precision attachment dentures may be preferred to distribute the force applied to a single tooth by connecting the teeth with crowns. A precision attachment denture is a removable denture that contains precision attachments to secure the denture to natural teeth. Precision attachments are designed to minimise the load on the supporting teeth and stabilise the dentures by supporting them. Particularly in cases where aesthetics are a priority, precision attachment dentures are accepted as an alternative to clasp-retained, i.e. partial removable dentures. On the other hand, precision attachment dentures are advantageous as they provide better retention against horizontal and vertical displacements that may occur under functional forces. The most important stage of precision attachment denture treatment is the correct indication and selection of the most suitable attachment type from among the various options. During selection, factors such as the patient’s intraoral condition, oral hygiene habits, and their aptitude for using the denture must be carefully evaluated. Among precision-fit dentures, the most commonly used type is the snap-on denture. This type of precision-fit denture, where the tooth is snapped into and out of the socket, may be a little difficult for the patient to insert and remove at first, as it has a tighter fit initially. However, as the denture settles into the socket over time, insertion and removal will become easier.
How to Care for Removable Dentures?
Cleaning removable dentures is of great importance. Even the slightest lapse in cleaning removable dentures can cause significant problems for the individual. One such problem is oral thrush. If the dentures are not cleaned and such a disease occurs, it can be difficult to get rid of. For this reason, it is necessary to keep removable dentures very clean. The first step in cleaning is to brush your teeth. You can do this using toothpaste or soap, whichever you prefer. However, it is also important to take care to brush all sides of the teeth as thoroughly as possible. In other words, it is not only important to clean the dentures themselves, but also to clean your gums, i.e. brushing them is important. However, brushing can sometimes be difficult for elderly people. In this case, individuals can seek help from their dentist to perform the brushing.
Another cleaning method is to soak your dentures. Here, you need to place one denture cleaning capsule in lukewarm water. Leave the capsule in the water for the required amount of time. However, another point to note here is that there should be enough water to cover the tablet. Another method is to rinse the dentures. After performing the other two methods, you can rinse your dentures under running water. You can clean your dentures by following all the steps mentioned above. Leave the capsule in the water for the desired amount of time. However, another point to note here is that there should be enough water to cover the tablet. Another method is to rinse the dentures. After performing the other two methods, you can rinse your dentures under running water. You can clean your dentures by following all the steps mentioned above. Leave the capsule in water for the desired amount of time. However, another point to note here is that there should be enough water to cover the tablet. Another method is to rinse the dentures. After performing the other two methods, you can rinse your dentures under running water. You can clean your dentures by following all the steps mentioned above.
After removing the dentures, the tongue, cheeks and palate should be gently cleaned. Dentures should be removed daily and cleaned with a soft-bristled brush and a denture cleaner that will not cause abrasion to remove food, plaque and other debris. As many removable dentures need to remain moist overnight, care should be taken to ensure they are kept in water or a mild denture soaking solution overnight. When using a denture soaking solution, ensure the dentures are thoroughly rinsed before being reinserted into the mouth. Routine dental check-ups should not be neglected after removable dentures are fitted. If the dentures become loose, this can cause sores, irritation and infection, so a dentist should be consulted immediately in such cases.
How is a Removable Denture Made?
When making full dentures, the first step is to take precise impressions using a special impression tool that fits the mouth. The vertical dimension between the upper and lower jaws is measured to determine the size and colour of the teeth. A decision is also made on whether acrylic or porcelain teeth will be used. Once the teeth have been arranged on wax walls, the full denture is delivered. If there are any issues or discomfort, the necessary adjustments are made. The fabrication of removable dentures is usually completed in 4-5 sessions after taking the measurements. However, depending on the patient, the scope of treatment and needs, the number of sessions may increase. On average, the fabrication of removable dentures is completed within 4-6 weeks, and the patient can fully use their dentures.
What are the Advantages of Removable Dentures?
Removable dentures are one of the most economical ways to replace missing teeth. Removable dentures not only restore oral function but also help preserve facial contours. Compared to implant treatment, removable denture treatment is completed much more quickly. Another advantage of removable dentures is that some removable denture treatments do not require tooth cutting.
What are the disadvantages of removable dentures?
Removable dentures enable individuals to replace lost teeth and continue their daily lives comfortably. However, when removable dentures are first fitted, there is an adjustment period that varies from person to person. During this period, the person wearing removable dentures may experience some difficulties with speaking, eating, chewing and keeping the dentures in their mouth. Over time, removable dentures may wear down and break. Another disadvantage of removable dentures is the need to replace them when they lose their fit in the jaw.
What is a Removable Denture Alternatives?
Implant-supported dentures are considered an alternative to removable dentures. Implants have the ability to increase the retention of dentures. This allows chewing force to be distributed across several teeth and reduces the load transmitted to the jawbone. The suitability of local and systemic conditions specific to the patient is assessed before implant-supported denture treatment can be applied.
My Dentures Are Moving. What Should I Do?
After removable dentures are fitted, patients should not overlook the fact that they need a certain period of adjustment. In the early stages following treatment, soft foods should be consumed by chewing carefully. Care should be taken to chew small bites on both sides.
If the lower denture shifts due to cheek and tongue movements, it should be remembered that this is temporary and that once the patient becomes accustomed to the denture, it will be possible to hold it in place with the cheek, lip and tongue muscles.
When removable dentures are first used, upper dentures may fall out of the mouth. In such cases, swallowing movements can be used to help the upper denture adhere better to the palate.
If the dentures cause sores in the mouth, the dentist should be contacted as soon as possible. Dentures should be cleaned in the evening, placed in a glass of clean water, and reinserted in the morning. Care should be taken not to use substances that may cause abrasion when cleaning dentures.
How Long Do Removable Dentures Last?
The lifespan of removable dentures varies depending on the individual’s oral hygiene and palate structure. A well-maintained denture can serve for many years without compromising its aesthetics. However, over time, changes in the patient’s palate structure and bone loss may cause the denture to become loose and move during function within the mouth. In this case, additional material is added to the denture through a ‘relining’ process to restore its fit to the palate.
Can I chew comfortably with removable dentures?
A full denture (complete denture) is slightly more difficult to use than other options. As it is supported only by the palate, chewing efficiency varies depending on the individual’s palate structure and bone quantity. A partial denture, on the other hand, is more comfortable to use as it is supported by both the palate and teeth.
How Can I Improve the Comfort of My Full Dentures?
Full dentures (palatal dentures) are supported solely by soft tissue, namely the palate, within the mouth. This support structure can vary from person to person. While patients with sufficient bone structure can use them comfortably for many years, there are also mouths where the bone tissue is insufficient to hold the dentures in place. There are two options to increase comfort in such cases:
Denture adhesives: Greater retention can be achieved with special denture adhesives applied inside the denture. This allows the patient to chew and grind food more comfortably.
Implant-supported dentures: Dentures are attached to implant screws placed in the jawbone. The retention of the implants prevents the dentures from moving in the mouth, allowing the patient to bite and chew comfortably.
What is the price of dentures?
The price of dentures varies depending on the type of material used and the number of teeth involved. Thanks to advances in dentistry, many new materials are being produced. Based on the clinical examination, the best treatment plan and the most suitable material for your mouth structure will be determined.
How should implant-supported bridge maintenance be carried out?
It is very important for patients who have had implant-supported bridges fitted to take care with their cleaning routine. This is because the wear and tear of implant-supported bridges compared to natural teeth, the rate of impact and the integrity of the materials they contain are directly linked to cleaning. If implant-supported bridges are to be used for a long time, care should be taken to brush twice a day, use dental floss under the bridge, and use mouthwash. Consumption of hard and crunchy foods should be avoided. Although they are built on a solid structure, care should be taken with regard to the foods consumed due to the risk of damage to the porcelain teeth on them.
How should removable dentures on implants be cared for?
Implant-supported removable dentures should be removed after every meal, cleaned, and must be removed at night for long-term and healthy use. At the same time, the implants and the area around them should be brushed thoroughly with attachments fixed in the mouth. In addition, the use of specialised dental floss or interdental brushes is recommended. If necessary, denture cleaning tablets can also be used to clean implant-supported removable dentures.
Can smokers have implants?
Smoking does not directly affect the possibility of undergoing implant treatment. What matters is how much the person smokes and the state of their oral and dental hygiene. In individuals who smoke more than one pack a day and do not take care of their oral and dental health, the desired success may not be achieved with implant treatment. It is very important not to smoke if implant treatment is to be performed. This is because the thousands of toxic substances in cigarette smoke can penetrate the implant area, where nerves and blood vessels are highly damaged and surgical procedures have been performed. As a result, the fusion of the implant with the bone may be adversely affected and the risk of infection in the area may increase.
What are the prices of implants?
Implant treatment is the most popular choice for resolving missing tooth issues, as it provides results close to natural teeth. Although implants may appear to be a more expensive treatment compared to other dental treatments, the long-term benefits and increased quality of life they offer to the patient mean that the cost is considered a minor detail. The cost of implant treatment is determined by many different factors. First and foremost among these are the number of implants to be placed and the brand of material used. Similarly, factors such as the city where the implant treatment will be performed and the dentist’s expertise and experience are also among the elements that influence the price of implants.
What happens if the body rejects the implant?
Dental implants are products made of titanium, which is 90% compatible with the human body. Therefore, there is no risk of the body rejecting the implant. However, during the healing process following implant treatment, problems may arise with the osseointegration of the implant due to factors such as infection, the patient not paying sufficient attention to oral hygiene, or excessive consumption of alcohol and tobacco. Such issues may lead to the loss of the implant.
What happens if the implant does not take?
The basis of implant treatment lies in the osseointegration of the implant screw into the jawbone. The firm attachment of this bond to the jawbone indicates that the implant operation has been successful. There is a risk of negative outcomes in implant treatment when the screws used are not compatible with the jawbone. Failure of the implant to fuse may occur due to factors such as inadequate hygiene during implant placement, the patient not paying sufficient attention to oral hygiene, the patient not following the dentist’s post-operative recommendations, or excessive alcohol and tobacco consumption. When an implant fails to integrate, bleeding, swelling, pain, and inflammation occur around the implant. The prosthesis is usually noticeable as it becomes loose. In this case, approximately 4-5 months are required for the patient’s jawbone to heal before the fallen implant can be reinserted.
Can you brush your teeth after an implant is fitted?
After the implant screw has been fitted, the patient may continue to brush normally in areas that have not undergone surgery. However, when brushing the teeth in the surgical area, care should be taken to avoid contact with the stitches and gums. Two days after the operation, after brushing the teeth twice a day, the mouthwash recommended by the dentist should be used.
What determines the price of implant-supported dentures?
Dental implant-supported prostheses encompass a wide range of treatment options, including bridges, full fixed porcelain crowns, hybrid prostheses, locator, ball, bar-retained prostheses, and all-on-four systems. Prices for all of these treatment options vary depending on the scope of the treatment applied to each individual. Therefore, detailed information about implant-supported prosthesis prices can be obtained after a detailed examination of the patient to determine their needs and the treatment to be applied.
How long do porcelain teeth last?
Porcelain teeth last an average of 10 to 15 years if the patient maintains them correctly and regularly. Extending this period depends directly on the care the patient provides for their teeth.
Can I eat after porcelain veneers?
The time required for the patient to get used to their fixed dentures and begin eating without difficulty may vary from person to person. During the adjustment period after fixed dentures, food should be chewed slowly and taken in small bites. Bites should be taken on both sides of the mouth and care should be taken to chew evenly. This is also a factor that will speed up the adjustment process. After fixed dentures, a diet consisting mainly of soft foods should be followed during the period required for the muscles to regain their strength.
How should porcelain veneers be cared for?
The care of fixed dental prostheses is a very important process. Although prosthesis cleaning kits are available today, prostheses can be cleaned with cold water, toothpaste and an extra soft toothbrush. The toothpaste chosen should not be abrasive. The use of dental floss is also an important step in cleaning fixed prostheses. At this stage, the gums and natural teeth should not be neglected. Natural teeth should be brushed as usual using a different toothbrush from the one used for dentures, and dental floss should be used. The mouth should be rinsed with mouthwash, and the roof of the mouth and gums should be brushed using a soft toothbrush and toothpaste. Brushing the gums is very important as it stimulates blood flow and helps prevent bone loss. Fixed dentures must be cleaned with a toothbrush after meals, and care should be taken to support cleaning by using the interdental brushes and dental floss recommended by the dentist. In addition, routine dental check-ups should not be neglected.
Does porcelain veneer cause tooth decay?
Although fixed dental prostheses are artificial materials and do not decay themselves, this does not eliminate the need for careful dental care. Failure to thoroughly clean bacteria at the gum line can lead to gum recession. This can result in undesirable situations such as the exposure of teeth beneath the crowns and the onset of decay.
Can the bridge be removed from its location?
When fitting dentures, highly advanced technology and strong adhesives are used. Therefore, dentures do not come out easily. When necessary, dentists can usually remove fixed dentures using special tools. Fixed dentures that cannot be removed must be cut in half or filed down like natural teeth to be removed. In some cases, very strong adhesives may not be preferred so that the denture can be removed when necessary. Normal adhesives can also ensure that fixed dentures are used without any problems most of the time. If you feel that your denture is coming loose or moving, you should consult your dentist. Otherwise, tooth decay may begin.
When will I get used to my dental veneers?
The adjustment period for fixed dentures can vary from person to person. Generally, patients begin to adjust to their fixed dentures within a few weeks, and this process is completed within a few months.
What materials are used in dental veneers?
Bridges are the most commonly used method in cosmetic dentistry for repairing damaged teeth or filling gaps between teeth. In addition to improving the aesthetics and alignment of teeth, they are highly advantageous because they are fixed in the mouth and cannot be removed. Bridges can be made from different materials depending on their purpose. If the aim is solely to improve the aesthetic appearance, materials such as porcelain or zirconium are chosen, which provide a natural appearance in the mouth. Strength is one of the most important characteristics required in bridges. Therefore, attention is paid to the selected material combining strength and aesthetics. The most commonly used materials in dental bridges are porcelain, zirconium, and metal alloys. However, the choice of material depends on the individual needs of the patient.
Is it difficult to get used to dentures?
Getting used to removable dentures is a process that requires time and patience. The adjustment period varies from person to person but generally takes a few weeks. When removable dentures are first fitted, they may feel foreign and large in the mouth, and the lips and cheeks may feel full. During the adjustment period, removable dentures should not be moved around using the tongue and lips. How well the tongue, cheeks and lips are used is a decisive factor in how long it takes a person to adapt to removable dentures. It usually takes longer to get used to lower dentures than to upper dentures.
What does crochet mean?
Crochets are bent or cast parts that grip the abutment tooth by attaching to the outside of the crown sections of the abutment teeth, preventing the movement of the prostheses in various directions and contributing to the overall stabilisation and retention of the prostheses.
Should I remove my dentures at night?
Removable dentures should be taken out every night, thoroughly cleaned, and placed in a container filled with water or denture cleaning solution to keep them moist overnight. This not only protects the dentures from staining and bacterial growth and extends their lifespan, but also allows the gum tissue to rest and heal.
Is denture adhesive harmful?
The use of adhesive during this period may be beneficial in facilitating the adaptation process to removable dentures. Adhesive can be used to provide additional stability when the removable denture is fully seated. However, in poorly fitted and ill-fitting removable dentures, excessive use of adhesive to fill existing gaps may cause damage to the underlying soft and hard tissues.
Is it mandatory to apply a veneer to the teeth receiving the hook when making a hook prosthesis?
When making clasped dentures, it may be necessary to crown the teeth to which the clasps will be attached. However, it is not necessary to crown the teeth other than those to which the clasps will be attached.
How long do dentures last?
Removable dentures can generally be used for 5 to 6 years when tissue adaptation and tooth alignment remain intact. At the end of this period, it is often necessary to re-adapt the gums.
Why should removable dentures be replaced at regular intervals?
As oral tissues are constantly changing, removable dentures cannot be used for many years. Although removable dentures need to be replaced every 5 to 6 years on average, in some cases, dentures can be relined and continue to be used with minor adjustments without needing to be replaced.