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Health

Prosthetic dentistry

, medical expert
Last reviewed: 24.06.2018
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Prosthetic dentistry - replacement of lost, destroyed teeth with artificial teeth.

trusted-source[1], [2], [3], [4], [5], [6], [7]

Preparation of teeth for prosthetics

Preparation of teeth for prosthetics begins with the treatment of all teeth. The therapist makes you brush your teeth from the stone and plaque and heals the caries.

After this, surgical preparation of supporting teeth begins. The supporting teeth assume the weight of the prosthesis. They are prepared for the crown. Nerve from the tooth canal should not be removed in all cases.

Prosthetic dentistry under general anesthesia

Prosthesis of teeth under general anesthesia is necessary if you still have panic fear of the dentist. It is to these patients that, due to the fact that they have started their teeth, prosthesis is most often needed.

But there are other cases. There are special categories of patients who need general anesthesia, even for dental treatment. Who are they?

  1. Patients with cardiovascular diseases.
  2. People who are allergic to everything (and this happens!) Local anesthetics.
  3. People with serious immune problems.

People who are aware of their problems before the treatment of their teeth must undergo a checkup from a cardiologist, an allergist, an immunologist, an endocrinologist.

Clearly, there are not any special equipment and an anesthesiologist in every clinic. After anesthesia, you can walk for yourself in an hour.

General anesthesia facilitates the work of the dentist, reduces the secretion of saliva. Which also makes it more preferable in complex cases.

Who to contact?

What prosthetics is better?

Unequivocally answer the question, what prosthetics of teeth is better, it is difficult. Before deciding to denture one of the ways that are available today, let's figure out what kinds of prostheses and the prices for them.

Prices for prosthetics in Kiev are very different. In the city there are about 2000 dental clinics and offices with different levels of service, equipment, various personnel qualifications and pricing.

Prices for dental prostheses in Kiev range from 1000-10000 UAH. Those clinics that offer you prosthetics for 10000 UAH / 1 tooth use the best foreign expensive equipment. But if you think about it, then on the equipment of the middle class, a qualified doctor with all the knowledge and skills will cope with the replacement of the tooth with "hurray."

Determine which denture prosthesis is best for you can be a doctor-prosthetist. Rely only on flattering reviews of your friends without the advice of a doctor is not necessary.

Modern dental prosthetics

Modern denture is their second life. Today, the crown can cause you the same sensations as your tooth. Everything is decided by the accuracy and skill of the doctor. A doctor with golden hands is the most important thing, and not the name of the clinic. Prosthetics combines science and creativity. Modern technology returns a smile with a complete loss of all teeth. This is the result of the work of a doctor-gnatologist, therapist, orthopedist and orthodontist.

You probably can not imagine, but back pain, headache and stomach problems can be related to the lack of teeth.

If you put a crown, bridge or implant of the tooth and feel discomfort, it means that something was done wrong.

How do you know if the clinic is using a modern approach?

Before the prosthetics, a snapshot of the jaws is made. In a good clinic you will keep your teeth alive. The production of a permanent crown today takes from a few hours to one day.

In the clinics of an expensive segment, a computer comes to the aid of the dentist. The computer model is used to plan the location of the implants.

Stages of prosthetics of teeth

The following stages of dental prosthetics are distinguished: 

  1. Oral cavity examination by a therapist. 
  2. Treatment of carious teeth. 
  3. Surgical preparation for the installation of the prosthesis. 
  4. Prosthesis manufacture. 
  5. Actually prosthetics.

Aesthetic prosthetics of teeth

Aesthetic denture restores the natural beauty of a smile and restores normal chewing. In the process of prosthetics, crowns and tabs are used.

Dentist therapist and hygienist qualitatively prepare the patient for the procedure. Modern dentistry is aimed at preserving natural teeth. And without need you will not be depulled and polished.

The ceramic-ceramic crown consists of a metal frame and applied ceramics on it. Metal ceramic is ideal for lower teeth.

The crown of zirconia is close to the tooth tissues. Of the advantages of ceramic crowns is also the lack of the need to grind your teeth.

trusted-source[8], [9], [10]

Types of dental prosthetics

Today, there are such types of dental prosthetics: 

  1. Removable dental prosthetics. Removable dentures are quite convenient at their price. The level of aesthetics of removable dentures has grown over the past 20 years. Of the shortcomings they, perhaps, only need cleaning. 
  2. Fixed prosthetics is optimal for young patients. With loss of teeth, this method effectively and inexpensively restores a smile. 
  3. Metal ceramic crowns are a relatively inexpensive type of prosthetics at a low price. The disadvantage of this type of prosthetics is the need for grinding and depulping the tooth. 
  4. Microprosthesis - restoration of the tooth with the use of tabs and linings. The patches on the tooth are called veneers. 
  5. "Bridges" are prostheses that rest on adjacent teeth. Still popular.

Parameters of durability for each type of prosthesis are different.

Fixed prosthetics of teeth

Fixed prosthetics has several advantages in front of removable dentures: 

  1. High aesthetics. 
  2. Ease of care.

Previously popular were unaesthetic metal crowns, but they are already in the past. They were replaced by new materials: reliable and durable (15-20 years of service), metal-free ceramics, indistinguishable from natural teeth, prostheses based on zirconium.

The bridge prosthesis allows you to fully restore the chewing function. The bridge rests on adjacent teeth.

The most modern type of prosthetics is the replacement of the teeth with the imprint. He winds on a titanium screw, which is implanted in the bone. This is already an extensive surgical intervention and it is not cheap. But such designs serve 20-25 years and have the same biomechanics as natural teeth. Patients do not distinguish them from their teeth, and others - even more so.

trusted-source[11], [12], [13], [14]

Removable dental prosthetics

Removable dental prosthetics include nylon removable dentures and clasp prostheses.

Removable dentures are used as an alternative to implantation.

Clasp dentures are fastened with locks or hooks.

Nylon prosthesis is simple in both manufacture and use. The patient will get used to them very quickly. The design is very durable.

Cover Teeth Prosthetics

Cover teeth prosthetics is used for fracture of the crown, in cases where it is necessary to amputate the crown part of the tooth, with the erasure of the teeth.

Cover prosthesis reduces the pressure on the mucosa of the oral cavity.

Contra-indications to covered prosthetics: 

  1. Diabetes. 
  2. Pathologies of the nervous system.

The cost of a cover prosthesis is quite high - 5000-6000 UAH.

Indications for the installation of cover prostheses: 

  1. Atrophy of alveolar processes. 
  2. Atrophy of the jaw bone.

trusted-source[15], [16], [17], [18]

Prosthetic dentition in the absence of teeth

Prosthetic dentistry in the absence of teeth is a difficult problem, because of their absence there is no support for the prosthesis.

The task will help to solve removable prosthesis or implantation. With a removable prosthesis, a prosthesis is made, simulating the upper or lower jaw with all teeth.

When implanted on an artificial root, a prosthesis is put on. Complete replacement of all teeth by implants will take about a year.

Contraindications for implantation: 

  1. Closely located maxillary sinus. 
  2. A small amount of bone tissue.

But in this case there is a way out - a bridge on the Implants, when the bridge is fixed on artificial teeth.

With a significant deficit of bone tissue, mini implants are used. They are four times smaller than usual. When installing mini implants, general anesthesia and stitches are not needed. An obstacle can only be diabetes and alcoholism, intense smoking.

Prosthetic dentistry

Prosthetics of teeth with pins are carried out as follows: an anchor pin is inserted into the canal to strengthen the tooth, which is deprived of the nerve. Pins made of palladium, brass or titanium are used. After that, the restoration can be made with a ceramic insert or put a crown on this tooth.

Prosthetic dentistry

Prosthetic dentistry - performed when the filling can no longer return the tooth to its former functionality. The attachment is set in two visits. First, a mold is taken from the carious cavity, and in the second visit a tab is made in the dental laboratory, made in the dental laboratory, preliminary "trying on" it and correcting the defects, if any. The material for the tab is usually porcelain.

Prosthetic dentistry without turning

Prosthetic teeth without turning help to keep teeth that are adjacent to lost teeth. This problem can be solved with the help of implantation - a reliable way to restore the dentition. The operation for tooth implantation takes 50 minutes. The service life of implants can reach 30 years.

The second solution to the problem is clasp prosthesis. In the walls of adjacent teeth, channels are made that hold the bridge.

Adhesive bridges are fixed with a special glue.

Materials for dental prosthetics

Materials for dental prosthetics are very diverse - choose together with the dentist.

Situation: one tooth is lost. What can the doctor offer you? Optimum - non-removable prosthesis or microprosthetic inserts.

If the tooth crumbles around the edges, it is better to put a crown on it. The metal-ceramic crown perfectly keeps and does not cause irritation of the gums, which are so afraid of those who have gum problems and postpone prosthetics.

The dentist will recreate the former shape of the tooth, its transparency and color.

If you lose all your teeth, do not worry! Today, nylon is used to make removable prostheses - a very elastic, durable material.

Cement for dental prosthetics

Cement for prosthetics of teeth is used for fixing crowns and bridges. They are safe for tissues. Teeth during the installation of the crown are grinded, the crown is filled with cement and fixed to the tooth.

An alternative to cement is composites. In this case, cavities are created on the teeth, where the tabs are inserted.

trusted-source[19], [20], [21], [22], [23], [24], [25]

Prosthetics of teeth in gold

Prosthetics of teeth with gold has its advantages. Gold protects teeth from tooth decay. Wearing gold crowns slows tooth decay by 50%. Gold is an excellent biocompatible material. Gold crowns do not cause problems with the gums, allergies, do not rub, they can be perfectly adjusted by bite.

Two types of crowns with gold are used: metal with sputtering and metal-free, entirely of gold.

Gold and enamel are erased at the same speed. On chewing teeth this is an ideal option.

Prosthetics of teeth with metal-plastic

Prosthetics of teeth with metal plastic - a method cheaper than using cermets. The plastic is porous, brittle, unaesthetic and toxic. Therefore, it is used as a temporary prosthesis. Temporary prosthesis can last 1-2 years and protect your teeth from displacement. Metal-plastic crowns are made quickly and easily. Their installation is non-traumatic. The average cost of a metal-plastic crown is 600 UAH.

Prosthetics of teeth with cermet

Prosthetics of teeth with cermet - an aesthetic, a lasting way to restore the tooth. But he has a drawback - a significant part of the tooth has to be grinded off.

Metal-ceramic dentures are twice cheaper than implants and serve 15 years.

To make the crown last longer, it is better not to eat too hard food: its ceramic part cleaves.

Clasp prosthesis of teeth

Clasp prosthetic teeth - the type of prosthesis, in which the prosthesis is attached to the metal frame. Bugelny prosthesis - an alternative to removable dentures ("false teeth"). They have a better aesthetics. Clasp dentures are invisible to others. Today clasp dentures are replaced in many cases, when several teeth are missing in the oral cavity in a row, and it is impossible to establish bridges. The alloy for the clasp prosthesis is very light. The metal arc transfers the load when chewing on the supporting teeth. This distribution of the load is closer to the natural one. Bugel partially covers the sky - this is the only drawback of clasp prostheses.

Advantages of clasp prosthetics: 

  1. At installation the turning of teeth is not necessary. 
  2. The prosthesis is very light. 
  3. Clasp denture is easily removed. 
  4. Maintenance - simple flushing with water.

The prosthesis can be attached to clasps or locks. Clammers are hooks that are firmly attached to supporting teeth. The disadvantage of this design is the visibility of hooks in conversation.

Clasp prosthesis on locks allows you to get rid of these noticeable hooks, which attract attention. The disadvantage of the method is the high cost of construction.

trusted-source[26], [27], [28], [29], [30], [31], [32], [33]

Prosthetics of anterior teeth

Prosthetics of the front teeth are most rational from the point of view of durability and aesthetics performed with the help of ceramic-metal and ceramic crowns.

Advantages of cermets: 

  1. Good aesthetics. 
  2. Long service life - up to 15 years.

Disadvantages: 

  1. Strong grinding of the tooth and depulpation. 
  2. Cyanosis of the marginal gingiva. 
  3. The crown is slightly noticeable compared to your other teeth.

Metal-free ceramics can be of several types. Applied porcelain and aluminum oxide, zirconia. Teeth based on nonmetallic ceramics does not darken and retains a natural sheen.

The cost of one unit of cermets - about 1000 UAH, non-metal ceramics - 2000 UAH.

It is also possible to restore the front teeth with veneers and restore them with seals. The choice of the method of restoration depends first of all on how much the tooth is destroyed.

Lower Teeth Prosthetics

Prosthesis of the lower teeth has features due to the fact that the lower jaw is mobile, unlike the upper one. We use the lower jaw not only for chewing, but also for speech and swallowing. Improper prosthetics can affect your pronunciation and your appearance.

A complete removable prosthesis to the lower jaw is additionally fastened with glue. There are no problems with the installation of partially removable dentures, which rest on both the gums and the rest of the teeth.

It is also possible prosthetics of the lower teeth with non-removable prostheses made of cermets, nonmetallic cermets, zirconia, bridges and veneers.

Prosthodontics for retired people

Prosthetic dentistry for retired people is very important, as almost everyone in old age needs it. Measures that the state takes in this direction are extremely inadequate, funding does not cover the needs of our elderly in prosthetics. The quality of the proposed prosthesis is very doubtful. In the absence of alternatives, there is such an opportunity. You will be placed first if you are a veteran of war or disabled, in the second - if a veteran of labor.

Many private clinics go to retirees to meet them. Often discounts for them up to 25%. Do not ignore the possibility of prosthetics. The presence of all the teeth will not only give you the opportunity to smile and chew any food, but also solve problems with gums that have suffered increased stress.

In Ukraine, launched a project for free dental implantation for pensioners "Quality of life for our parents." The idea of the project is this: once a year, the dentist carries out an implantation to a completely toothless pensioner for free. More and more Ukrainian dentists support this project. To participate in the project, you need to be 65 years of age or older, have one or two jaws completely without teeth and have no contraindications to prevent surgery.

To register for the project as a patient, you need to send information to the e- mail : iia.alliance@gmail.com : your full name, how old are you, where you live (country and city), phone number and panoramic picture, and also a couple words about yourself and why you decided to become a member of the program.

Doctors from 20 countries choose their own patients.

The project was first launched in 2010. A truly unique opportunity for an implantologist to show mercy and respect.

Free dental prosthetics

Free dental prosthetics for pensioners has become a task for our state, because having all the teeth in their places is not a luxury. Health can suffer from missing teeth. Judge for yourself - there is no tooth - it means that the food is badly chewed, the stomach suffers. Parodontosis is connected.

To get a free denture, you need to contact the social welfare authorities. The veterans of war and labor and disabled people have the right to free prosthetics. Liquidators of the accident at the Chernobyl NPP have the opportunity to install prostheses for half the cost.

Prosthodontics for periodontal disease

Prosthetic dentistry for periodontal disease is a common cause of the "headache" of orthopedic dentists. Parodontosis often becomes the cause of tooth loss, and all begins with a slight bleeding gums. The cause of periodontitis is heredity and an incorrect bite. Before prosthetics it is necessary to treat periodontal disease. The dentist fixes teeth that stagger.

Prosthesis in patients with periodontitis is a complicated procedure. First, restore the gum tissue.

Prosthetic dentistry for diabetes

Prosthodontics for diabetes are often needed, because teeth also suffer from this disease. A patient with diabetes needs to be monitored in what condition the gums are. Hygienic cleaning of teeth is necessary for such people once in three months.

People with diabetes mellitus today undergo dental implants, but for this, taking into account anamnesis, not all clinics are taken, and if diabetes is in an active uncontrolled phase, then this can become an absolute contraindication. A more gentle way is to install bridges of prostheses with the grinding of adjacent teeth. In recent years, bridges have become possible to install and without turning, but this method is more expensive. In our opinion, the installation of a bridge with the manufacture of inserts on adjacent teeth, although it requires additional costs, for patients with diabetes mellitus is an ideal way to solve the problem.

Prosthetic dentistry in children

Prosthetics of baby teeth in children - why is it needed? Indeed, the time will come, and the teeth will be replaced by permanent teeth. If you think so, then we can convince you. Prosthetics of infant teeth are necessary, if for any reason, usually this is a trauma, it was lost. If this happened before the natural change of teeth from 6 to 14 years, the dentition begins to deform, the teeth move, the diction breaks.

Prostheses for children are made of plastic. Their service life is about a year, as the jaw grows. The problems of child prosthetics are handled by the orthodontist. Of course, your child is fidgety, it is difficult for him to explain the need for treatment, but believe me, your decision to replace a baby tooth with its loss will help avoid many bite problems in the future.

Orthodontic plates with teeth hold a place in the dentition.

Children can also install crowns of metal. Indications for use of metal crowns: 

  1. Restoration of milk molars after treatment of pulpitis. 
  2. Restoration of teeth with congenital defects.
  3. Restoration of teeth after trauma.

Complications in prosthetics of teeth

Complications in prosthetics of the teeth occur if the doctor has committed an oversight. The most common complications are: 

  1. Prosthetic stomatitis - occurs if the prosthesis presses against the gum, too tightly adjacent to it. Over time, there is a pinch of blood vessels, which leads to pressure sores. The problem is solved by rinsing with antiseptics. 
  2. Caries of supporting teeth. Under the prosthesis, the remains of food accumulate and caries develop. To avoid its development, you need to pay close attention to hygiene, carefully care for the dentures, clean them in the morning and in the evening. 
  3. Sometimes it is possible to unstick the bridge, its loosening due to a change in the occlusion. 
  4. An allergy that develops when the material from which the prosthesis is made is connected to the body's protein tissues. Symptoms of allergies: skin rashes, asthma attacks and dry mouth. Only replacement of the prosthesis can help. 
  5. Galvanic syndrome is an unpleasant condition that arises from the fact that heterogeneous metals are present in the mouth. Saliva acts as an electrolyte in which metal enters, and galvanic current is formed. The patient feels a metallic taste in his mouth, headaches and malaise. This condition requires replacing the prosthesis with another one made of another metal.

trusted-source[34], [35], [36], [37], [38], [39], [40], [41], [42], [43]

Where to make dental prosthetics?

You can do dental prosthetics free of charge or in the paid department of your district clinic, go to a specialized dental clinic, a private dental office or a dental clinic - the choice is yours and depends, first of all, on your financial capabilities and the availability of doctors you trust. The clinic itself is not so important, but those who work there. Do not choose a clinic just because she has a name and her ads are regularly played on TV. Refer to those who have already done prosthetic teeth.

If you have enough money, you can be treated abroad. Abroad, in Germany, Israel and other countries, there are clinics with completely Russian accompaniment. You can ask in Kiev which organizations will help you organize a trip. Prices in foreign clinics are very different. In some of them they are not much higher than ours at a much higher quality. Thus, you overpay only for flight and hotel accommodation.

Prosthetic dentistry at home

Prosthodontics at home to elderly people are performed by many private clinics. A dentist with a dental technician comes to the house to people who can not attend the clinic themselves.

At the first stage, consultations and making casts are carried out. At the second stage, ready prostheses are tried. The clinic is performing their correction. And in the third stage they are installed.

One visit takes up to 2 hours.

Prices of dental prosthetics

The prices of dental prosthetics depend on the type of prosthesis and the particular clinic, as well as on the material. For example, the most expensive prosthesis with ceramic veneers. The cheapest are acrylic removable dentures. The price of dental nylon prostheses is higher. Acrylic dentures are adjusted to the peculiarities of patients by stretching. They are enough for a couple of years.

The most expensive is the implantation of teeth. Implantation of teeth is universal. You can insert one, several teeth or just all the teeth in the jaw. Dear Imlantes are up to 25 years old.

Possible additional costs for dental prosthetics are related to the preparation of teeth for prosthetics, treatment of caries and periodontitis.

Reviews about dental prosthetics

Feedback on prosthetics from those who can share their experience of treatment is the best recommendation. Only the owner of the prosthesis can tell if they are comfortable wearing or not.

Prosthetics of teeth painlessly and permanently solves problems with teeth. Today in the clinics of Kiev apply modern methods of prosthetics of teeth. Diagnosis before prosthetics is carried out using computer technology. Modern materials for the manufacture of prostheses do not have a toxic effect on the body. Prosthetics will return your smile to you - smile on health.

It is important to know!

The concept of restoration of teeth is a process of restoration and correction, first of all functional, and only then the aesthetic parameter of the tooth, through the use of composite materials, with the obligatory observance of functional and aesthetic parameters. Read more..

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