New Dental Prosthesis

Removable acrylic dentures

Dental Prosthesis - all cases
  fig.1- Removable acrylic dentures

Everything about dentures, crowns and dental implants.

Porcelain dental bridge

Porcelain Dental Bridge with 3 teeth
  fig.2- PFM dental bridge


Porcelain crowns

Porcelain crown
fig.3- All porcelain crowns


Complete denture

Complete acrylic denture
  fig.4- Complete inferior denture


Removable partial denture

Removable partial denture
  fig.5- RPD - removable partial denture


Dental implants

Dental implants
  fig.6- Dental implants

Also get to know the worst kinds of dental prosthesis. In order to avoid them all.

Fixed and removable dental prosthesis

Tooth loss is solvable, it is called dental prosthesis and it can change your life. Those who value image, well-being and self-esteem, quickly realise that they will have to use a type of dental prosthesis of the highest quality possible.

What is dental prosthesis (denture, crown, etc.) and its various types with photos and costs, this is that we shall see. The first step is good information. You may well decide on the best criteria. It is possible to have perfect teeth, even if they are false teeth.

The placement of missing teeth by artificial methods is what is generally known as dental prosthesis. The classic example is that known as denture, plaque, or plate. But dental prosthesis has better examples of fake teeth:

The type of dental prosthesis indicated for each person depends on multiple factors:
- The number of teeth in place, existing support, bone structure and of course the price. In reality, the cost of the dental prosthesis may be the most relevant factor for most people.
A crown cemented or screwed into a dental implant is the best solution to replace a missing tooth. Yet it is the most expensive alternative, which is why it is not always selected. However, fixed prosthesis is better than removable prosthesis, and doesn't just depend on the implant to be used.

Fixed dental prosthesis (crown and bridge)

Dental crown

If a tooth is too damaged, the remaining structure can be exploited to make a ceramic or porcelain fused to metal crown. It is for the dentist to verify which of the two types of crown is the most suitable.
Usually the ceramic or porcelain crown (Figure 3) produces better cosmetic results than the metal ceramic crown.
Why choose a PFM crown (porcelain fused to metal crown)? Porcelain fused to metal crown
- Because it is more resistant to the forces resulting from chewing. This happens with the molar teeth and also with the premolars (bicuspids).
When the anatomical crown of the natural tooth is totally destroyed, its root can still be prepared to receive an artificial crown. This crown can be made in one piece (Richmond crown) or in two parts, with one of the pieces being a post, or pin, cemented at the root and the other the tooth crown itself, which is based on the post.
In the event that the tooth no longer exists (including the root), the dental crown can be supported (cemented or screwed-in) on a dental implant, or be incorporated into a dental bridge of 3 elements (fig. 2) .

[read more about dental crowns]

Dental bridge

A dental bridge (figure 2) is indicated when there is a space which lacks one, two, three or even more teeth. The natural teeth on each end of the edentulous space being used as supports. The dental bridge, like the crown is a fixed dental prosthesis and is the best type of prosthesis that you can have. There is no dental bridge that is not fixed, either provisional or definitive.
Both bridges and crowns are fixed in the mouth by means of cement (special glues), or screwed-in, if implants were used for their fixation. Normally, the internal structure is made of metal, which gives it greater strength. This metal is entirely covered with ceramic, so it is not seen. Also possible are entirely ceramic bridges, their internal structure being made of zirconium oxide (white ceramics).
The drawback of the bridge is that it requires the preparation of teeth that will serve as support or abutment. It is not a disadvantage if those teeth are not good at an aesthetic or functional level. It will be an opportunity for a new 'face'. However, if the teeth that serve as support are in perfect condition, it is not a good idea to move them. In this case, the use of dental implants to support a dental bridge or any crowns is especially suitable. [learn more about dental bridges]

Removable dentures in acrylic, silicone, nylon or vinyl.

Ordinary acrylic dentures (figs. 1, 4) are easily removed by the wearer and may contain all the teeth (total) or only some of them (partial).
Acrylic dentures very quickly lose their quality. The teeth wear out in a short time, so the aesthetic is compromised too early (except if porcelain teeth are used).
At any rate, as they are a dental prosthesis that fit over the oral mucosa (the toothless part of the tissues of the mouth), they will accelerate the reduction of bone where once there were natural teeth. This process will reduce the adaptation of the denture and will promote "sinking" in the mouth. Its function is definitively compromised. For all these reasons, an acrylic denture should be replaced at regular intervals or even be considered as a temporary solution. Unfortunately, the economic situation of many people does not permit such a thing.
Acrylic dentures are more valued if they take ceramic teeth. They are a bit more expensive than acrylic, but they have the huge advantage of being much more durable. In addition, they are aesthetically superior, giving a natural and appealing image. Because they are 'hard', they have the disadvantage of further accelerating the bone loss mentioned above.
Anyone using fully removable dentures (false teeth, plate) can see the improved quality of life if they decide to place dental implants to retain and support their dentures
[read more]

Removable dental prosthesis in metal and acrylic (RPD - removable partial denture)

This type of removable prosthesis known as RPD (fig. 5), will gain support and retention in the teeth remaining in the mouth. It uses metal supports and clasps to achieve this support and retention. In some situations as in the photo, the support is shared with the mucosa of the edentulous area.
A RPD (removable partial denture with metal framework) has less negative impact on the alveolar bone than the removable acrylic prosthesis (it takes advantage in this regard). Which receives fewer points in aesthetics. These days, negative visual caused by metal retention clasps is almost unacceptable.
This is a more expensive prosthesis than the acrylic, but cheaper than fixed prosthesis (dental crowns and bridges). That difference turns out to be diluted in time because it is not as durable as the fixed prosthesis which can last for more than twenty years.
[read more about RPDs]

Dental prosthesis fixed to dental implants

The dental implant (fig. 6) alone is not a dental prosthesis. It acts as a substitute for the natural tooth root. The dental implant has an adapted post upon which will be cemented or screwed the prosthetic tooth. It provides support and retention of a dental crown or dental bridge. At least two implants will be needed for the bridges. For fixed dentures (fully fixed dentures) 2, 4 or 6 implants are required in each dental arch, depending on the type of dentures and fixing.
This is the most advanced and efficient solution for the integration of complete dentures.
Complete dentures on implants can be of 3 different types.

For fixed partial dental bridges, you may want to consider the alternative which is the bridge attached (fig. 2) on teeth adjacent to the edentulous area (these teeth are called abutment teeth).

Dental crowns and dental bridges can be fixed to
dental implants with screws or cemented, as appropriate.

Difficulties and problems in the use of dentures

Any type of dental prosthesis needs some time for good adaptation. At first, that new element in your mouth is a stranger. The tongue does not stop inspecting and diction seems somewhat affected. After a week, these symptoms are disappearing, until they are no longer felt.
Removable prostheses are susceptible to greater initial difficulties. As they are movable, their friction sometimes causes small wounds in the mucosa, some adjustments in the dental prosthesis being convenient.
Over time, there is a growing mismatch in the dentures, due to natural changes in the mouth. This factor can produce pain, increase the discomfort of their use and is a sign that something should be done, a new dental prosthesis or a rebasing of the current denture. If you develop sores on the mucosa, it is recommended to remove the dentures for one or more days to rest and heal the injured tissue. You can apply a mouthwash at the site. If symptoms persist you should visit a dentist and a retouch of the dental prosthesis might be necessary. read how dentures are made (fig. 4).

Hygiene and maintenance of dental prostheses

The use of dental prosthesis does not dispense with hygiene care. Dental plaque also sticks to the artificial teeth, changing their appearance and causing irritation of the gums. Poor cleaning increases bad odour, particularly in flexible silicone prosthesis. Use a soft toothbrush and toothpaste with lower abrasive power. Use dental floss where possible (fixed prosthesis) and finish with a mouthwash.
Visit your dentist regularly so that he or she can assess the good condition of the fixings or other changes.

The price or cost of dental prosthesis - crown, bridge, rpd, denture, implant.

Table of dental prices.

It is very difficult to say what the exact price of a particular type of dental prosthesis would be. In fact this cost varies from city to city, and varies from dentist to dentist within the same city.
What is recommended is to visit some dental practices, specifically to ask the price and compare. In order to facilitate credit, some dentists have agreements with financial institutions. It will be a chance to consider, in order not to further postpone solving the problem of your missing teeth. The passage of time will incur greater damage in your mouth and consequently higher future charges. It seems sensible to have the benefits now of something as important as a better quality of life and pay for it little by little.
One way to get a cheap dental prosthesis is to resort to external consultations schools or dental schools. Look for the dental university nearest to you. Do not worry because the students are accompanied by the best dentists.

Wrong ideas about dentures and artifitial teeth

Extracting teeth to make dentures.

- Some people have teeth that are so rotten that they think of extracting them all and getting dentures. This is the worst thing they can do. Many teeth can be saved and a prosthetic tooth is not better than a natural tooth. Furthermore, a partial prosthesis is more stable than a full dental prosthesis. Another problem that occurs after the extraction of teeth is bone loss where the roots were. This reduction of bone leads to the premature appearance of ageing due to a lack of support of the facial muscles.

Fixed dentures are more beautiful with all of your teeth straight.

- Not at all. Denture (fig.4) with perfectly aligned teeth can only look like dentures. They do not fool anyone because natural teeth are rarely so well presented.

The dentures have lasted for many years, but they are still good.

- Dentures that have lasted for many years are not good, they are old. The teeth, if acrylic (they usually are), will be worn. They no longer present the aesthetics of earlier times. Dental prosthesis will not be as well adapted as in the beginning, because the mouth, like the body, will be changing over the years. Moreover, the material from which the dental prosthesis is made, will be degraded. Dentures are more fragile and start giving off an unpleasant odour which is impossible to eliminate with the best hygiene. Having dentures for many years should not be something to be proud of. They should be changed from time to time, varying with the potential of each person.

I only lack one tooth, so there is no need for dentures.

- The absence of a tooth in a part of the mouth that is not very visible tends to be devalued. Such an attitude is a mistake. The teeth next to this space will start to move and could even rotate slightly. It should also be noted that in the other hemi-arcade there is another tooth that spread into that now absent space. This opposing tooth tends to slowly leave the bone, exposing a portion of the root and is more prone to cavities. Finally, the bone where the root of the missing tooth was will waste away with time, causing the adjacent teeth to become more uncovered at the side of the gap. All these factors indicate only one thing, that it is important to place a new tooth through a fixed dental prosthesis.

The prosthesis is unadapted, a conditioner or adhesive will solve the problem.

- There are stickers (dental adhesives) on the market that promise to solve the problem of lack of adaptation of dental prostheses. These products can help stabilise the dental prosthesis (ordinary dentures) but temporarily. The problem can only be definitively solved with a reline or a rebase of the current prosthesis or ideally with a new one. You will be able to use and enjoy the old prosthesis as a replacement if the new one breaks, while waiting for its repair.

What kind of prosthesis should you choose then?

A bad decision when choosing the dental prosthesis may accelerate the loss of more teeth in the future. Particularly those which are adjacent to the edentulous space.
Studies indicate that in the consideration of 3 chances to replace a lost tooth (dental implant, fixed bridge and removable prosthesis), the removable prosthesis raises the possibility of loss of immediate teeth, to the surprising value of 30% in the near future (removable prosthesis plays an important role only as a temporal prosthesis, pending the completion of the final work). Note that if a person decides not to not use any type of dental prosthesis, this figure drops to 19%. It follows then that opting ​​for a removable prosthesis, due to the lower cost, may mean higher expenses in a relatively short time. The same study notes that the dental implant is a solution that provides greater guarantees regarding the stability of the teeth adjacent to the edentulous space.

Useful tips

When you go to a clinic in order to make a prosthesis, you should ask for a written budget. The budget should mention the type of work involved, the teeth involved and their designation, the total price and the payment plan. This will help to resolve any misunderstandings. It is important!
If you have any questions regarding the decision to make, seek to better inform yourself, it is your responsibility.