There are many varieties of dental prosthetics today. One of the most common is the immediate prosthesis. What it is? What types of such prosthetics exist? How is it made? What are the advantages and disadvantages of prosthetics identified by patients and professionals? You will receive answers to all these questions in the article.
What is this?
Immediate prosthesis is an orthopedic design, which in English means "immediate prosthetics" or "immediate prosthetics". What does it mean? This design is often installed immediately after tooth extraction.
You are offered an immediate prosthesis. What it is? In fact, a temporary removable orthodontic structure that the patient uses while his permanent prosthesis is being made. It is often used before dental implants. The fact is that the titanium rod-root can take root up to several months. During this period, a temporary denture replaces the missing tooth.
The appeal to such prosthetics has several reasons at once. As a rule, after the removal of a damaged or diseased tooth, its neighbors try to occupy the resulting empty space. A temporary denture will prevent row displacement, which can be accompanied by a whole list of complications. In addition, immediate dentures take on part of the chewing function. This is important for the assimilation of food and the full process of digestion. We must not forget about the aesthetic function. Especially in cases where the front tooth is removed.
How is the prosthesis fitted?
Immediate dentures are attached to the teeth with special hook clasps. The fulcrum here can be both natural teeth and implants. In some cases, special glue or cement is used for a more secure fixation.
In any case, this prosthesis installation will be the most inexpensive, painless and fast. In most cases, it is chosen in case of loss of one or more teeth. It is important to note that, despite the relative cost-effectiveness of this method of prosthetics, the patient receives an artificial tooth, which is practically indistinguishable from the real one.
Indications for installation
Immediate dentures are shown to both teenagers and adults. The main task of this design is the functional and aesthetic restoration of the dentition. As we have already noted, the gaps between the teeth are replaced by the prosthesis, and their displacement is prevented.
The use of an immediate prosthesis will be justified in the following cases:
- The need for removable prosthetics for one or two adjacent teeth. In particular, it is used for installation in the chewing area.
- Removal of a damaged or diseased tooth before fixed prosthetics - implantation or transplantation. In case of tooth loss, immediate dentures can be prescribed even before the bridge is installed. In particular, it helps to get rid of aesthetic discomfort in case of extraction of front teeth. Therefore, often a temporary immediate prosthesis is also installed in the frontal region of the dentition.
When installing such a design, not only chewing and aesthetic functions are provided, but the risk of bone tissue atrophy under the prosthesis itself is also reduced. They do not deform, do not decrease in volume.
Contraindications for installation
There is no long list of contraindications to the installation of an immediate prosthesis. There are two main restrictions:
- Deformation of the jaw bones.
- There is no way to fix the structure on the supporting teeth - in case of their absence, pathological mobility or deformation.
Varieties
Let's take a closer look at the types of immediate prostheses. There are three types in total:
- Partial immediate prosthesis. This variation is established in cases where it is required to restore up to four teeth in one row. In comparison with the same "butterflies", this is a more cumbersome design. The supporting part for the convenience of fixing a partial prosthesis is more voluminous. Similar designs are assigned for installation in the chewingthe Department. They help the entire dentition to participate in chewing food.
- Immediate prosthesis "butterfly". This is a removable design that allows you to replace from one to three teeth. It is a nylon or acrylic immediate prosthesis. This name is given due to the fact that the supporting parts of the structure resemble the wings of a butterfly. But if we consider the prosthesis as a whole, then it is nothing like this insect. Similar options are prescribed in case of temporary replacement of teeth in the frontal and chewing areas. This design is popular with both patients and specialists because of its relatively low price and ease of manufacture.
- Full immediate prosthesis. This is a removable design that is designed to model either the upper or lower jaw. Accordingly, it is used for complete adentia - the absence of all teeth in a row. The main difference between such a prosthesis and those described above is that this removable structure can be used on an ongoing basis. Can also be placed on implants.
Material Types
Immediate dentures also differ further by the type of material used:
- Nylon. Dentures are soft, light and flexible.
- Acrylic. The designs are more rigid, which helps them retain their original appearance longer.
How they are made
What is it - an immediate prosthesis - is already clear. Removable orthodontic structure, which can be installed immediately - immediately after the removal of damaged or diseased teeth. Modern immediate prostheses look very natural and natural - their installation is almost imperceptible. Which is very important for patients who require anterior denture replacement.
Most of these designs are made of acrylic or nylon. Therefore, they have a soft base that mimics the gums and the palate. Today, the most high-quality and comfortable orthodontic structures are nylon. Such immediate prostheses are also in demand because they do not cause an allergic reaction, they are the most natural in aesthetic terms.
These designs are made in dental laboratories. For the whole process of creating an individual immediate prosthesis, specialists need 1-2 weeks. As for the structures for the frontal part of the dentition (anterior teeth), this system is the most difficult to manufacture. Why the terms of its creation may somewhat exceed the standard.
Steps of manufacturing the structure
The main steps in making an immediate prosthesis are as follows:
- Taking an impression before tooth extraction. Moreover, not only he himself is taken into account, but also his neighbors, as they will be supporting for the future prosthesis.
- Creating an exact copy of the tooth being removed.
- Placement of fasteners on the prosthesis based on casts of adjacent teeth.
- Trying on the manufactured design. If necessary, its correction.
- Installation of an immediate prosthesis.
In the case when microprosthetics is performed not afterremoval, and after the loss of a tooth, a control model of the structure is created. After its fitting, the necessary corrections are made and the prosthesis itself is made.
Advantages of this prosthetics
Among the main advantages are the following:
- Painless prosthesis installation.
- No need to grind neighboring teeth.
- Easy care.
- Prevention of atrophy of the jaw bone tissue at the site of an extracted or lost tooth.
- Quickly addictive.
- Relatively inexpensive way of prosthetics.
Design flaws
Immediate dentures are popular because they are a comfortable temporary (and in some cases permanent) replacement of lost teeth. They carry out the chewing functions of the lost tooth, look natural in aesthetic terms. But orthodontic construction has its drawbacks.
The most annoying shortcomings are the fragility and fragility of the prosthesis. A number of patients also note the difficulty of getting used to such a design. In particular, discomfort in the mouth, problems with diction.
But with the development of orthodontics, these problems are gradually smoothed out, becoming less obvious. Immediate dentures are becoming more comfortable, durable and aesthetically natural.
Prosthetic cost
It is difficult to name the universal price of immediate prosthetics. The cost of this design, first of all, depends on the number of teeth to be replaced and items.materials used to create the prosthesis.
So, if you order a "butterfly" for one tooth, it will cost you 2-4 thousand rubles (depending on the city and clinic, the cost may vary). If a partial or complete prosthesis is made, then its price can reach up to 30-40 thousand rubles.
It is possible to determine the exact cost of the structure in each individual case only after consultation with a specialist, a visual examination by the doctor of the patient.
Reviews
On the net you can find a wide variety of reviews about immediate prostheses. Basically, patients are attracted by the availability of this method of prosthetics. In most cases, the design is quickly made the very next day after the impression is taken. Great alternative to implants for front teeth.
But this method of prosthetics is not eternal. Structures often break, especially acrylic ones. In the event of a fall, they most often break. Therefore, care and storage must be given great attention. Some of the reviewers noted that for a long time they could not get used to the prosthesis. While other patients felt discomfort only in the first days.
Immediate prosthetics - the fastest and cheapest today. Both temporary and permanent structures are installed. The most important thing is not to forget about the care of the prosthesis, handle it carefully.
