Three stages in the manufacture of a fixed prosthesis


A beautiful smile is easy! At the Esthetic Classic Dent clinic, we install the best permanent dentures that will last for many years and be easy to use. We offer a wide selection of crowns to suit every taste and budget, from budget to premium, and our specialists will take care of high-quality and painless installation. The newest permanent dentures look just like natural teeth, and sometimes even better. All that remains is to figure out what types of fixed prosthetics there are and for what cases they are suitable.

3 reasons to contact Esthetic Classic Dent

Fixed dentures - features and advantages

Fixed dentures are considered the most effective and inexpensive solution to restore dentition.

The most common causes of tooth decay and subsequent loss are:

  • abundant carious lesions;
  • pulpitis;
  • periodontitis;
  • dental cysts, etc.

As a result of these dental diseases, tooth crowns and roots are destroyed, teeth fall out on their own, or surgical intervention is required to remove dead hard tissues and roots. For restoration, the dentist recommends permanent dental prosthetics, the basis of which is a bridge and ceramic crowns of the latest generation.

Advantages of fixed dentures:

  1. Aesthetics. Fixed dentures are difficult to distinguish from your teeth. With proper selection and proper installation, the design looks harmonious in the oral cavity, and the person smiles boldly.
  2. Comfort. A person quickly gets used to a fixed denture and does not feel discomfort afterwards.
  3. There is no need to build up bone for high-quality implementation of a fixed denture. When using modern artificial roots, there is often no need to build up bone tissue. This simplifies the entire dental procedure and makes it much more affordable.
  4. Fast payback. The investment in fixed dentures always pays off in dental health, attractive visual effect and durability.

What types of fixed prosthetics and when are they used?

In modern dentistry, there are the following technologies of fixed prosthetics:

  1. Microprosthetics
    :
  • installation of veneers/lumineers – used primarily for aesthetic reasons to correct chipped enamel, small defects in the front wall of the tooth, eliminate gaps, irreversible changes in enamel color, etc.
  • Prosthetics with ceramic inlays help to reliably restore even a badly damaged tooth with a large cavity.
  • Prosthetics using a crown
    . This type of permanent prosthetics is used to restore a single tooth crown, even after its complete destruction, provided that the tooth root is preserved.
  • metal-ceramic
  • metal-free
  • zirconium.
  • Prosthetics using bridges
    . This type of fixed prosthetics is used when it is necessary to restore 1-2 lost teeth in the presence of neighboring ones and is often recommended as temporary.
  • Implantation.
    Dentures on implants are indicated in the absence of a large number of teeth.
    • Single implantation is the most reliable and aesthetic way to restore a tooth lost by the roots.
    • Prosthetics of one jaw on 4, 6 implants

    Prosthetics of the jaw or part of it on implants is the most modern, natural and reliable method of restoring dentition.

    Video: interview with the head physician and orthopedist of the clinic R.Z. Babaev

    Watch a video about how the entire process of high-quality dental restoration takes place - from the first visit, planning and to the implementation of the plan into a real smile. Watch an interview with Roman Zakirovich’s patient, Svetlana, and find out the main principle of a good doctor’s work.

    The main types of permanent dental crowns

    At the stage of planning treatment with a fixed denture, the dentist, together with the patient, decides which type of fixed dental crown to use for high-quality prosthetics.

    Currently, the most common fixed dentures are:

    1. Teeth crowns
    2. They are used if the hard tissues of your tooth are destroyed by more than 2/3. The implementation of this type of fixed dental prosthetics occurs as follows:

    • the tooth is strengthened with a supporting core and a fiberglass dental pin;
    • the tooth is ground down;
    • the dentist makes impressions of the tooth;
    • After a week or two, a ceramic crown or one made of metal ceramics, plastic, zirconium dioxide, etc. “sits” on your tooth.
    • a person receives a new healthy tooth that does not differ from his own either visually or in functional characteristics.
    • Veneers – as a type of fixed denture
    • A veneer is a thin ceramic inlay that perfectly matches the shape, color, and transparency of your tooth. Such a fixed denture “sits” with the help of a special dental glue on the front wall of a previously ground tooth. Recently, super-thin permanent dental veneers have appeared, which practically do not require grinding of their crown, do not stick out, and look organic. As a rule, veneers are placed on the front six to ten teeth of the upper jaw (smile area). If the lower teeth are in good condition, whitening them is enough to achieve the ideal effect.

      Installation of fixed dentures and veneers occurs as follows:

    • their teeth are prepared;
    • a thin ceramic onlay is fixed on the surface of pre-selected teeth;
    • within a few hours the patient receives an impeccable effect - even, snow-white and beautiful teeth.

    The average lifespan of veneers with proper use is up to 10 years.

  • Restoring ceramic inlays (fixed microdentures)
  • Restoring ceramic inlays are used when more than ½ of the tooth crown is destroyed. Dental micro dentures are made from individual dental impressions in dental laboratories, fixed using a special dental bond, and prevent the occurrence of recurrent caries on the teeth.

    Advantages of ceramic inlays (mini dentures) compared to composite fillings:

    • high strength;
    • durability of teeth (on average, from 3 years);
    • ceramic systems do not absorb pigments and do not darken;
    • retain their qualities throughout the entire period of validity.

    Types of structures

    Due to the variety of dental cases characterized by the need for prosthetics, various technologies and materials are used to create prostheses. From the point of view of design specifics, there are:

    • Veneers and lumineers are thin plates made of ceramics used to hide visually noticeable defects in the frontal units;
    • Crowns and inlays are products used as a protective cover that imitates the natural structure of the tooth and are placed on top of the damaged unit;
    • Bridges are structures designed to replace several successively located units fixed on implants or healthy teeth;
    • Implants are permanent prostheses used in cases of complete destruction of not only teeth, but also root areas, completely restoring the structure.

    The choice of material for manufacturing is determined by technology and also depends on the financial capabilities of the patient. The most common materials include:

    • Ceramics - used to create artificial crowns and veneers that are externally indistinguishable from natural tooth enamel. Fixed dentures made from solid ceramics allow you to create an attractive smile, but are not very durable and affordable;
    • Metal alloys - the use of precious and ordinary alloys makes it possible to achieve operational reliability and durability of replacement elements, but reduces aesthetic qualities;
    • Metal-ceramics is a technology that combines the advantages and hides the disadvantages of the two above-mentioned materials, highly appreciated by dentists and patients.

    In addition, the implantation procedure recommended for severe destruction of individual units or complete edentia involves the use of titanium pins. Titanium is durable and reliable, and is fully compatible with body tissues, which makes it possible to integrate and engraft prostheses.

    Classic dental bridge or fixed dental bridge

    A classic bridge is a one-piece denture structure consisting of a base, as well as functional and supporting crowns. Functional crowns replace lost teeth, and abutment crowns serve as the basis for securely holding a fixed denture in the oral cavity.

    Why do patients choose dental bridges?

    • Deadlines. Prompt production of individual impressions in a dental laboratory - up to 14 working hours. days. With additional payment and comfortable conditions, it is possible to produce a fixed denture in 3–5 days.
    • Indications for implantation. A fixed dental prosthesis is an excellent replacement system for diagnoses where there are restrictions on the implementation of titanium dental implants and the installation of crowns on these artificial roots.
    • Price. The cost of a classic bridge is several times cheaper than the price of a titanium implant and a metal-ceramic or zirconium dioxide crown.
    • No age restrictions. Bridges are often staged for both older people and middle-aged audiences.

    The nuances of using a dental bridge with pre-implantation:

    • You have to grind down your supporting teeth, albeit a little;
    • It is often necessary to first remove the roots of the teeth before implantation.

    Adhesive fixed bridge prosthesis

    An adhesive fixed denture got its name due to the peculiarities of fixation on the supporting teeth. To connect it with living tooth tissues, adhesion is used, that is, “sticking” technology. For reliable bonding, the prosthetist uses a dental primer, bond, some types of acids (for example, phosphoric acid), chemical or light-curing cement.

    Adhesion helps to secure the ceramic tooth and onlay processes to the supporting teeth without removing the roots and grinding away a large layer of its enamel.

    Structure of an adhesive dental bridge:

    • main abutment tooth;
    • side linings in the form of processes (petals), onto which a fixing compound is applied.

    The average lifespan of an adhesive dental bridge is up to five years.

    Fixed denture on titanium implants

    Fixed dentures on dental implants are one of the most common systems for restoring lost teeth.

    The main advantages of such solutions:

    • titanium implants installed in deep bone layers preserve hard tissue around them;
    • healthy supporting teeth do not require preliminary grinding and root removal;
    • the average shelf life of such dentures on artificial roots is twenty years;
    • the method of restoring teeth with fixed dentures is considered the most gentle and natural;
    • ready-made solution for restoring edentulous teeth;
    • attractive dental aesthetics.

    The only caveat when installing a fixed dental structure on implants is the considerable cost of the solution.

    If we compare all the existing options for fixed dental prosthetics, it is the fixed prosthesis on a dental implant that is the best solution - in terms of quality, aesthetics, reliability and durability of the teeth.

    Choice according to indications and budget

    The best dentures are those that are indicated for the patient. Generally speaking, the most modern designs will be those based on implants. However, there are two very important points here: implantation has a number of limitations and is considered an expensive procedure (especially if we are talking about complete dental restoration). In this case, other designs come to the rescue, which are also designed to restore functionality and aesthetics. Before we start talking about the different systems in more detail, we need to make some distinctions so that you don't get confused.

    All dentures are usually divided into several types. First of all, the number of teeth being replaced is taken into account: this criterion implies the installation of a partial or complete denture. According to the method of removing the structure from the oral cavity, removable and conditionally removable dentures are distinguished. Which ones are better - read on.

    How to care for fixed dentures?

    Basic rules for proper care of fixed dentures at home:

    • brushing teeth with a brush and dental floss;
    • using a dental irrigator (preferably after every meal);
    • hygienic cleaning of the tongue.
    • Don't forget to clean the surface of your tongue, where just as many bacteria accumulate as on your teeth and gums. These organisms provoke the development of caries. To clean your tongue at home, use a hygienic scraper with a rough surface, which can be purchased at a clinic or any pharmacy.

    • preventive visits to the dentist’s office (at least twice a year) to control the quality, reliability of fastening and aesthetics of a fixed dental prosthesis (bridge);

    If the patient wears fixed dental prostheses made of metal-ceramics or ceramic crowns, experts recommend checking the so-called supercontacts (heightened areas of the bridge) at least 2 times a year and grinding them to avoid chips and mechanical damage to the dental bridge.

    If you feel that the bridge or individual teeth have begun to loosen, you should urgently consult a dentist. In case of mechanical damage to a fixed denture, the defects can be eliminated without replacing the structure with a new one. If you lose time, you will have to resort to dental prosthetics again using a new bridge.

    Popular questions about prosthetics

    Here are collected popular questions from patients about prosthetics asked on the site forum. Experienced dentists answer.

    Which prosthesis to choose: plastic or silicone?

    Silicone has a short period of adaptation, is comfortable to wear, and does not rub the gums. Disadvantage of silicone: caring for them is more difficult.

    Which type of prosthesis is better: a bridge structure or a suction cup prosthesis?

    If there is a problem of missing several dental units in a row, the optimal choice would be a bridge. It will ensure uniform distribution of the load on the jaw, will serve for a long time, and is comfortable to use.

    Which prosthesis to choose: plastic or nylon?

    It all depends on which dental units need dentures. For chewing teeth, acrylic plastic is more suitable as the most durable and comfortable material to wear. Nylon dentures are suitable for premolars and incisors.

    Which prosthesis design should I choose from plate-type prostheses?

    If a temporary prosthesis is needed, then a removable plate structure is chosen. A fixed prosthesis is chosen in the absence of at least three dental units in a row in the dentition.

    Which denture should a person prone to allergies choose: acrylic or nylon?

    Nylon has more hypoallergenic properties. In addition, a nylon prosthesis is more flexible and less likely to rub the oral mucosa.

    Average price of fixed dentures in Moscow clinics

      The price of a fixed denture depends on the following factors:

    1. Types of dentures
    2. A budget option is a plastic bridge, which is usually installed as a temporary solution to replace lost teeth. Metal stamped dental bridges are also cheap - from 300 rubles. for one unit. The most expensive are bridges with ceramic crowns, which cost about 30,000 rubles. for 1 tooth.

    3. Efficiency of production
    4. Fixed dentures are usually made from pre-made impressions in a dental laboratory. The average production time is two weeks, but some services offer to speed up this process for a fixed additional payment (from 1/3 of the cost to double the price, depending on the complexity of the work).

    5. Qualifications of specialists
    6. Dental prosthetics requires the help of several specialists: a prosthetist, an implantologist, and a dental technician. The dependence is obvious: the higher the qualifications of the professional, the higher the final price of dental prosthetics.

    7. Type of clinic
    8. The price of the same fixed denture in different clinics may differ. If you compare the prices of Moscow dentists, the most favorable prices are from the network of dental clinics “32 Dent”.

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