Lamellar prostheses are one of the common orthopedic systems. They are used when their teeth are destroyed. Production is carried out individually. The features of a complete removable lamellar denture are described in the article.
What is this?
Complete removable lamellar denture is a system based on polymeric materials. They are inlaid with artificial teeth.
This device is used in the absence of several teeth or the teeth of the entire jaw. Because designs are affordable and easy to manufacture, they are the most sought after by patients.
Indications
Full film dentures are used in various cases. Since the restrictions for these systems are much less compared to implantation or classic prosthetics.
Such dentures are used for:
- full or partial edentulous;
- impossibility to perform implantation or classic prosthetics;
- necessity to wear temporary structures before fixing permanent prostheses;
- metal allergies.
In these cases, the use of a plate prosthesis would be the best choice. It is easy to care for and comfortable to wear, and with care it can be carried for a long time.
Contraindications
But it is not always possible to use a full removable lamellar denture. It is forbidden to use when:
- severe periodontal disease;
- problems with the circulatory system;
- undergoing radiation or chemotherapy;
- mental illness.
The material used is plastic, acrylic, nylon, polyurethane. Usually the composition affects the final valuable design: modern plate dentures are made of acrylic or nylon, which are comfortable and almost completely eliminate allergies.
Features
Full removable lamellar denture is used in the complete absence of teeth. With it, the upper or lower jaw is modeled.
Usually this design has a bulky basis (especially the prosthesis for the upper jaw). This is required for a good fit and secure fit.
Mounting Methods
Full removable plate, plastic prosthesis is fixed in the following ways:
- Clasps or attachments. These methods are used if there is at least 1 pair of he althy teeth on the jaw.
- Suckers. Additional fixing parts used when installing a completeupper jaw prosthesis.
- Implants. The prosthesis is installed based on implants. This is a high-quality and durable method of prosthetics, which is not always possible due to contraindications and high prices.
Production
The manufacturing technology of complete removable lamellar dentures is simple compared to the creation of many non-removable devices (crowns or bridges). Therefore, the finished system is obtained quickly.
The steps for making a complete removable lamellar denture are as follows:
- Required consultation, examination, creation of panoramic images of the jaw and coordination of the design of the prosthesis.
- It is necessary to take casts and make a model of the patient's jaw. Then bite parameters are determined.
- Wax construction being made and tried on.
- The finished structure is polished. Cosmetic imperfections are also eliminated.
- You should try on and install the finished design.
This completes the production of complete removable lamellar dentures. If everything is done correctly, then the design will be comfortable to wear.
Pros and cons
Prosthetics with complete removable lamellar dentures have several advantages and disadvantages, which depend on the type of construction. Before installing the device, you need to familiarize yourself with the pros and cons. The doctor should also tell you about the types of prostheses and help with the choice:
- Fragility. Under heavy loadsthere is a fracture of the lamellar prosthesis.
- Short service life - up to 5 years.
- Discomfort when wearing and difficult to get used to.
- No load on bone tissue.
- Easy to make.
- Low cost. This is one of the budget options for restoring teeth.
- Restoration of the chewing action of the teeth.
- Good looking.
Prosthetics of teeth with full removable lamellar dentures allows you to make an attractive oral cavity. With care, such a system can last for several years.
Staging
The method of fixing this prosthesis in the mouth depends on the complexity and extent of the defect, the condition of the oral cavity and gums. The doctor takes into account the limitations and wishes of the patient.
Because the upper jaw has a larger surface area than the lower jaw, attachment to the upper jaw is faster and more secure. A complete denture rests on the gum and palate. With full dentition, the system is held by adhesion and suction to the gums.
Evaluation of the result
Evaluation of the effect of prosthetics is performed according to 2 criteria:
- Subjective.
- Objective.
Group 1 includes indicators of the analysis of the patient's condition after placing the prosthesis. It is necessary to determine the level of comfort, features of adaptation, probable difficulties. The condition is checked at different times - after fitting the prosthesis, overlay and a month after the completion of fixation.
Group 2includes its validation options. It is required to determine the conformity of the shape of the crowns with the anatomical parameters of the teeth. The occlusal and articulatory conformity of the jaws is also checked. The density of the marginal fit of the system to hard dental tissues is determined. This is the basis for checking the prosthesis.
Addictive
For 1 week, the patient feels pain due to the pressure of the prosthesis on the gum. Sometimes you need to go to the doctor several times for correction.
Even if the addiction went well, an orthopedic consultation is required in a month. He will provide recommendations for the care and storage of the structure. The addiction will be successful if the product is not removed for the first week, even at night. You should also rinse your mouth with warm water up to 10 times a day.
Repair
A complete removable lamellar denture for the upper jaw is considered a fragile device, especially in the area of fastening the soft support part with artificial teeth. It is not always possible to repair the system, and the level of success is determined by the nature of the damage.
In case of small chips or breakage of clasps and attachments, restoration of removable lamellar dentures is often carried out. But in case of complex breakdowns, the design is usually changed. Defects in prostheses appear due to careless handling and biting of hard objects.
Cost
The price of structures depends on the material and the number of teeth to be replaced. The most affordable full denture costs about 10-12 thousand rubles.
Acrylicproducts cost over 15 thousand rubles. And the cost of new nylon or polyurethane full dentures is up to 40 thousand rubles.
Care
Approximate service life is about 5 years. In order for it to serve during this time, special care is needed:
- After removal, the prosthesis is cleaned with a toothbrush and paste, then it is placed in a special solution. Plaque is removed with dental floss.
- If the design is not removable, then after each meal, rinse your mouth with water.
- Prostheses are not compatible with hard, sticky foods. From chewing gum, toffee, nuts, the structure becomes fragile, so cracks and mechanical failure appear.
- The dentures are kept in special containers at night. It is not worth leaving them in water for a long time, otherwise the prostheses will swell and lose their functional qualities.
Patients need to go to the dentist regularly to detect abnormalities during the use of the prosthesis. If gingival reconfiguration is changed during long-term use, new designs are selected based on abnormalities.
What do they clean with?
Removable products should be cleaned twice a day with a soft-bristled toothbrush and special products. This can be used:
- low abrasive toothpaste;
- liquid soap;
- special effervescent tablets.
If there are darkenings on the prosthesis that are difficult to remove on their own, you need to useprofessional cleaning. It is forbidden to use whitening pastes. They are highly abrasive and can scratch or damage the product.
Effective is a special ultrasonic cleaner, which can be purchased at a pharmacy, as well as professional tablets. Another prosthesis can be attributed to a specialist. Ultrasonic baths, in addition to cleaning, disinfect. With them, tartar and pigment plaque are cleaned. Another professional cleaning eliminates odors.
Do I have to keep it in a glass of water?
Previously, structures were left in water to prevent the material from drying out. New acrylic dentures do not need this procedure. They are left overnight in a clean cloth napkin, which is especially convenient when traveling.
At home, you can store the product in a convenient way. This may be a special container or a glass of water or solution. A tissue paper is also used. The physician placing the prosthesis should provide advice on how to store the prosthesis.
Eating Rules
When wearing prostheses, an appropriate nutritional load is required. In this case, the service life of the structure is significantly increased. For the first six months, it is better to eat soft, chopped food. Indeed, at this time, taste sensations, biting of the cheeks or tongue, salivation, falling under the structure of food may be disturbed. After six months, the diet may be a little saturated. You can eat meat, fish, vegetables.
Gum, seeds,nuts, crackers. Hard piles of carrots or apples should also not be eaten, because this leads to pain and damage to the prosthesis. It is advisable to remove coloring foods from the diet in order to prevent staining of the prosthesis.
What is forbidden to do?
Knowledge about the proper care of removable structures is sometimes not enough. You also need to have an idea about what is forbidden to do with such a prosthesis.
You need to remember the following recommendations:
- Denture cleaning is done before going to bed.
- Do not use tap water for rinsing to prevent bacteria.
- It is forbidden to use hot water to avoid deformation of the structure.
- Do not use highly abrasive pastes.
- Do not use the prosthesis if there is pain or severe discomfort.
Lamellar prostheses, although they have some drawbacks, allow you to smile naturally. Also with them will be high-quality chewing of food. The person will feel much more confident.
