Dental prosthetics. Illustrative image

Dental prosthetics

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    Price of Dental Prosthetics

    Prosthetics
    Services
    Cost
    Ceramic crown
    from 13 000 UAH
    Veneer
    18 000 UAH
    Zirconia crown
    from 13 300 UAH
    Implant-supported prosthetics
    Services
    Cost
    Ceramic crown cemented (estetic zone)
    14 500 UAH
    Zirconia crown with screw fixing
    15 300 UAH
    Permanent orthopedic structures (prostheses) for one jaw
    Services
    Cost
    Removable prosthesis
    10 500 UAH
    Nylon prosthesis
    10 700 UAH
    Clasp prosthesis
    14 200 UAH

    What are dental prosthetics

    This is the restoration of missing teeth or their fragments using preparatory restorations, fixed structures (veneers, inlays, crowns, and bridges fixed on teeth or implants), and removable dentures (partial, complete removable dentures, immediate dentures, clasp dentures).

    Partial prosthetics are considered in case a patient still has remaining natural teeth. If all the teeth are missing, a complete removable denture is fitted. Dentures can be attached to implants, which is called an Implant-Supported Denture. Such dentures can be removable, partial, and cement-retained.

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    The primary purpose of non-removable prosthetics is to solve a wide range of problems associated with entirely or partially missing teeth in the upper or lower jaw. This method allows restoring the shape and aesthetics of teeth, compensating for missing teeth. The placement of artificial dental structures is required in case a person has the following dental problems:

    • increased attrition of enamel;
    • diastemas, cracks, chips;
    • a dental crown is missing, and there is no other way to restore it;
    • one or more missing teeth, as well as edentulism.

    Prosthetics solves all mentioned problems and improves the quality of life. All types of prostheses used in dental practice have individual characteristics, advantages, and disadvantages.

    Inlays

    Inlays in prosthetic rehabilitation are used to restore the shape of the tooth. This type of dental product is regarded as an analog of fillings, but unlike filling material, inlays are made in laboratory conditions from ceramics; they are durable, fall out less often, and have high wear resistance.

    Stump inlays are an intermediate option between the crown and the filling. This type of dental inlays is used in case of significant destruction of the crown part of the tooth. Stump inlays do not require grinding a tooth to a stump, as with artificial crowns.

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    Veneers

    Veneers look like thin plates. This type of prosthesis is used to restore the aesthetic appearance of a smile. The famous Hollywood smile is achieved with the help of veneers. Hypoallergenic materials (composite, ceramics, zirconium dioxide) are used for veneer manufacture.
    Veneers and their other type, lumineers, do not treat but radically mask such dental defects as a trema, diastema, cracks, chips, staining, and discoloration of tooth enamel. Veneers are a complete alternative to teeth whitening and can also replace braces.
    After placing veneers or lumineers, it is necessary to follow particular service rules since chewing coarse food, and frequent coffee drinking and smoking can damage them. The smile zone with veneers or lumineers has no flaws in terms of both shape and color.

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    Crowns

    This type of prosthesis is used to restore decayed teeth, or rather, their crown part. The crowns are mainly indicated when the outer part of the tooth is destroyed by more than 50%. They are made from zirconium dioxide, porcelain-fused metal, and ceramics.

    Porcelain-fused metal is more often used for grinding units, as it is more durable. Ceramic micro-prosthetic restorations are suitable for a smile zone, as they have better aesthetic properties. Zirconia crowns can be placed in any part of the dental arch.

    Crowns Illustration
    What are Complete Dentures, Removable Partial Dentures, and Bridges?

    All removable dentures consist of a pink plastic base on which plastic, composite or ceramic teeth are fixed.

    The type of manufacturing material classifies the following options for removable dentures:

    • Nylon. Such material is completely biocompatible and suggests maximum aesthetics.
    • Plastic. This type of removable denture can be manufactured from the following materials: acrylic, Spofadent, IvoBase, Vertex, and Deflex.
    • With metal fasteners (clasp).
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    How Removable Dentures Are Attached

    Several factors influence the way the removable dentures are fixed. Such factors include:

    • degree of mobility, size, and position of the tongue in the oral cavity;
    • some anatomical features of the prosthetic bed, palate, and alveolar ridge;
    • lack of dental precontact.

    The following types of fixation methods are used to fix removable dentures in the oral cavity:

    Лечение адентии

    Benefits of complete dentures:

    Benefits of complete dentures:. Icon

    Fast manufacturing;

    Benefits of complete dentures:. Icon

    Feasible for almost every patient;

    Benefits of complete dentures:. Icon

    Suitable in case of poor oral hygiene.

    Disadvantages of complete dentures:

    Disadvantages of complete dentures:. Icon

    The denture in the upper jaw blocks the palate, which can result in a partial loss of the taste sense and sometimes a feeling of nausea;

    Disadvantages of complete dentures:. Icon

    A complete removable denture is fixed only with glue; it is not particularly stable and can move during chewing; this can negatively affect speech and mastication;

    Disadvantages of complete dentures:. Icon

    It should be brushed after every meal.

    For the reasons stated above, we mainly use them as temporary solution.

    Removable partial dentures are used when the spaces between the remaining teeth are so large that they can no longer be covered with one or more bridges.

    Bridges are made when there are two abutment teeth and a maximum of two adjacent teeth missing. Bridges are much more comfortable than removable dentures. They are fixed on the abutment teeth and have a long service life.

    The indication for the dental bridges is the absence of no more than two teeth in a row. The bridges are popular due to their relatively low cost and availability. Such structures are fixed on the adjacent abutment teeth, while the area of fixation withstands double masticatory load. This can eventually lead to the rapid destruction of the supporting dental units.

    Different types of dentures can be used depending on the size of the gap or attachment options, namely:

    • one-piece bugel prostheses;
    • telescopic prostheses;
    • implant-supported prostheses.

    A combined support using the various elements of the mentioned options is also possible.

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    Bugel prosthesis

    A bugel prosthesis is a removable partial denture attached to the remaining natural teeth by cast metal clasps or locks.

    This prosthesis frame is a pink plastic base with attached plastic, composite or ceramic teeth is welded made of an alloy for medical applications.

     Bugel prosthesis Illustration
    Telescopic denture

    A telescopic denture – is also a removable denture attached to natural teeth and implants. Unlike the bugel prosthesis, it does not have clasps or locks. It has the so-called telescopic crowns consisting of two parts, allowing fixing it.

    The primary crown (inner telescope) is attached to a natural tooth or implant and is made of metal. The secondary crown (outer telescope) is embedded in the partial denture and is fitted over the primary crown along with the denture.

    Telescopic denture Illustration

    Implant-Supported Prosthesis

    Implant-supported prostheses are used when there are few or no natural teeth left. Dental implants are artificial tooth roots that are implanted into the jawbone. Depending on the condition, a crown, bridge, or prosthesis can be attached to the implant.

    This prosthetics option can be applied in case of partial and complete edentulism. The implant-supported prosthetics technique is based on introducing artificial roots into the jawbone, after which crowns are placed on the artificial roots. Fixed implant-supported prostheses are the radical and most effective way to restore dentition and chewing function and eliminate facial asymmetry resulting from tooth loss.

    Implant-Supported Prosthesis Illustration

    Alternative methods of prosthetics such as “All-on-4”, “All-on-6” help gain a beautiful smile and restore chewing function. Compared to the standard process of implantation, which provides for installing an artificial post for each tooth separately, the prosthetic structure is retained by four fused implants in the case of the “All-on-4” concept. If there are no contraindications, prosthetics can be performed in a single visit to the dentist.

    A similar procedure is performed using the All-on-6 procedure when six implants retain the prosthetic structure. Both methods are safe, low-traumatic, and are not associated with a high risk of complications. It is possible to place a tooth implant in Kyiv performing an All-on-4 or All-on-6 procedure, immediately or in several stages, at an affordable price with complete restoration of the dentition. All-on-4 and all-on-6 procedures are the best alternatives to both removable dentures and conventional implants.

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      FAQ

      Is it true that fillings on front teeth discolor over time, but veneers do not?

      Yes, composite materials lose particles over time, and pigments get into empty micro-spaces.

      How long does it take to fit a prosthesis on a dental implant?

      There are several types of implant load.
      We often use a protocol for loading the lower jaw after 2 months and the upper one after 4-6 months.
      Sometimes we apply immediate loading: prosthesis connected to the dental implant right after the implant placement. This method is used most often for esthetic reasons important for a patient. This allows preserving the anatomy of the soft tissues around the teeth and feeling comfortable.
      In case we use Trabecular Metal Implant from Zimmer Biomet, we can fix the crowns six weeks after the implant surgery.

      How long can a temporary crown last?

      Here the name “temporary” says it all, meaning you can only use it for a short period. It is used until a permanent crown is made. If during this time it comes off (the temporary crown is fixed to the tooth with temporary cement), you will need to contact your dentist for re-cementation. If you cannot get your temporarily installed crown replaced with a permanent one, please note that you should not have it for more than a month. However, this figure can vary. And it all depends on the case. Since the temporary structure cannot correctly perform all tooth functions, it is not worth delaying it by replacing it with a permanent tooth.

      How long does it take to make an implant crown?

      Depending on the clinical situation, we will make a crown for you within 3-8 days.

      Fixed or removable dental restoration?

      Dentures can be fixed, overdenture, and removable. Fixed dentures are always a high-quality, reliable, and durable solution. With such a prosthesis, the patient’s jawbone is preserved, and the prosthesis itself provides excellent stability and makes a patient feel confident. The only drawback is the inability to remove them after the initial installation easily. An overdenture restoration is retained by natural teeth or dental implants and is a good option if a sufficient number of implants for a fixed restoration cannot be placed. If an overdenture is implant-retained, it will also preserve the jaw bone. Such prostheses are removable, easier to repair, and clean professionally. Removable dentures are fitted in cases it is impossible to install fixed or overdenture restorations for various reasons. The advantage of removable dentures is that the patient can remove them without assistance, affordable price, and ease of manufacture.

      What are the methods for composite veneer manufacturing?

      Composite veneers are made directly in the office by the dentist.
      A simpler method is for the doctor to apply composite material layer by layer directly to the tooth, after which it is polished.
      We also use the injection method of veneer fabrication.
      Once the teeth’ shape has been pre-approved, a transparent mouth guard with small openings for the injection of liquid composite is made.

      Can composite veneers chip or break?

      If dental veneers are placed appropriately, this will not happen. In addition, it should be stressed that the breakage of dental veneers depends mainly on the patient’s eating habits. Grinding your teeth, biting your nails, and biting tough food can cause the veneers to break.

      How long do composite veneers last?

      Several conditions must be fulfilled to keep veneers long, such as brushing after every meal, flossing, and timely professional cleaning and polishing in the dental office.

      What is the lifespan of removable dentures?

      The service life of removable dentures depends on the type of denture, the materials used, the quality of care and the patient’s characteristics. On average, dentures last 5-7 years. The main reasons why they need to be replaced are as follows:

      • material loss (abrasion of the chewing surface);
      • changes in the shape of the gums and atrophy of the bone tissue, due to which the denture ceases to fit tightly;
      • loss of aesthetic appearance (discolouration, damage).
      What are the disadvantages of a complete removable denture?

      Removable complete dentures have several disadvantages affecting comfort, aesthetics, and functionality. Here are the main ones:

      • weak retention, often requiring the use of creams or gels;
      • it takes time to get used to the denture; dentures can rub on the gum;
      • can cause soreness or inflammation, especially initially;
      • the denture may partially cover the palate, which reduces the sensitivity of the taste buds;
      • may cause articulation difficulties in the first few weeks of use.
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