Despite the fact that over the past decades, dentistry has begun to develop at an accelerated pace, doctors still try to adhere to those methods of treatment that allow the maximum preservation of teeth. What type of prosthesis is recommended by doctors? It is not always shown to install removable ones. Fixed dentures, provided they are justified, can also solve many problems with the oral cavity.
Many patients are faced with such a problem as extensive damage to the teeth up to their complete destruction and loss. Many are interested in fixed dentures for teeth. Which ones are better? The photos presented in this article will help to imagine what this or that model looks like. But in any case, the doctor will choose the appropriate type.
Causes of pathological processes in the teeth
Total damage to the tooth depends on many reasons. Most of them are social in nature. Here, an important role is also given to the legacy of dentistry of the Soviet period, the inability in most cases to properly clean. Alsopolluted ecology, constant stress, overwork and so on.
In any case, whatever the reason for the destruction or loss of teeth, fixed dentures remain the best solution to the problem. However, dentistry does not stand still. To make your smile attractive, this branch of medicine uses many innovative methods.
Features of fixed dentures
Fixed dentures are widely used in dentistry. Which is better in this or that case - the doctor decides. Fixed dentures, which help restore damaged or missing teeth, also have varieties. The choice of one or another model depends on the degree of complexity of each specific case and the individual characteristics of the human body. The article will discuss in detail the main types of fixed prostheses, their distinctive features and indications for use.
Using veneers
In the event that the teeth are slightly damaged and visible when smiling, then the best solution would be to use veneers. Such fixed prostheses are thin ceramic plates that are glued to the front surface of the teeth. Outwardly, they are difficult to distinguish from natural enamel.
The modern method of installing veneers involves a small grinding of the surface of the teeth, and the innovative materials from which the models are made make it possible to perfectly repeat the texture of transparent natural enamel.
If the tooth has small chips and cracks, as well as other minor, but visible to the eye damage to the upper incisors, then you are recommended to install veneers. It should be noted that they cannot be used with extensive carious lesions of the teeth, as they often break.
Using tabs
If the teeth are damaged not only from the front, but also from below, and the pathological process is observed both on the incisors and on the chewing teeth, then fixed dentures in the form of ceramic-based tabs are suitable for you. Such designs replace the usual fillings. They should be given preference, since with their help both a small part of the tooth and a large area, including those affected by deep caries, are restored.
Ceramic-based inlays, unlike composite fillings, are difficult to distinguish from natural dental tissues. Such material makes it possible to repeat any shades of enamel. Another difference between ceramics and composites is that the substance does not absorb coloring pigments, pores do not appear on it, and it is not subject to destruction. Therefore, ceramic inlays are changed much less frequently than fillings.
Application of crowns
In cases where a large part of the tooth has been damaged or destroyed, it is not recommended to remove it. In such a situation, fixed prostheses are used in the form of individual dental crowns. With their help, even a badly damaged tooth can be restored, provided that at least one of its roots remains intact.
Crownis a non-removable structure that is able to imitate a natural tooth with all its anatomical abilities. This design is fully involved in speaking, chewing and other functions that are inherent in he althy teeth. The basis of the crown can be metal, cermet and ceramics.
Features of materials
Crowns made of different materials have different disadvantages:
- Metal crowns are not aesthetically pleasing. In addition, they have a short lifespan. They will last approximately 5 years.
- Metal-ceramic structures are characterized by a large thickness of the framework, which makes it necessary to remove many layers of the tooth. Their base is made of metal, so such prostheses on the front teeth may differ in color from neighboring teeth.
- Ceramic crowns are more fragile, but they are more expensive. Doctors give preference to them, since the structures are durable, the material is better perceived by the body. Such prostheses are ideal in terms of aesthetics. And all this thanks to the material of manufacture. Ceramic does not cause allergic reactions and is widely used in dental practice.
Fixed bridges
Designs in the form of bridges are used to replace missing teeth. They are fused models that are able to simulate a series of three or four elements.
How does prosthetics work in this case? Fixed prostheses of this type are attached to the extremehe althy teeth that act as a support. Bridges are installed on the patient's specially ground living teeth. As a rule, nerves are removed from the supporting teeth. The essence of the model is three or four crowns combined into a single whole.
Are bridges considered a good prosthetic solution?
Bridges are a good way to quickly restore missing teeth. However, modern dentistry considers this method as temporary. Bridge installation is indicated in emergency cases when any other alternative is ruled out. For example, for certain reasons, a patient is not shown implant-based prosthetics.
The bridge is more of the past than the present of dentistry. Why? As already mentioned, this method requires grinding adjacent he althy teeth and removing nerves from them. A prosthesis in the form of a bridge in place of the missing tooth does not provide a full load of the jaw and does not stop the resorption of the bone. Also, the design is not able to perform many other functions of a he althy tooth.
It should be noted that the bridge does not take long to get used to. It also does not contribute to changing the taste of food. The design imitates natural teeth in shape and color. A bridge is made according to the impression, which is made taking into account the patient's oral cavity.
Adhesive bridge model
Unlike the above method of prosthetics, the adhesive bridge includes only one crown, which replaces the missing tooth. This design is equipped with special mounts on the sides that cling toabutment teeth.
Compared to a bridge, an adhesive device is considered to be preferable, as it does not require grinding of he althy teeth located next to the missing one. However, such a model has exactly the same disadvantage as a conventional bridge. An adhesive prosthesis cannot perform the full function of a he althy tooth.
Implant-based fixed dentures
Can a full fixed denture be fitted? As already mentioned, the choice of a fixed denture model depends on the individual case and the characteristics of the human body. However, if one or more rows of teeth are missing, or if they have decayed to such an extent that they require extraction, the best option is to use implants. What is it?
The implant is a cylindrical titanium root that is implanted into the jawbone. A few months later, a ceramic or metal-ceramic crown is put on such a pin. This method of filling missing teeth is an excellent alternative to full dentures, which takes a long time to get used to and is not always successful.
Implants perfectly mimic the crown of a natural tooth. As for the engraftment period of the devices (it ranges from 4 to 6 months), the patient can be fitted with a temporary prosthesis based on lightweight plastic. Implantation in the complete absence of teeth is the most optimal solution to the problem. In this case, the use of fixed prosthetics on implantsgives the patient the opportunity to restore lost chewing functions, an attractive appearance and comfort when wearing a prosthesis.
How to care for non-removable structures?
As for the issue of caring for fixed structures that are installed on the front and chewing teeth, it should be carried out in the same way as it is done for he althy teeth. It is recommended to adhere to basic oral hygiene rules, as well as visit the dentist's office twice a year and have a professional cleaning procedure.
Specific denture care products
From specific means, various pastes and rinses can be noted. An irrigator is also used. Doctors strongly recommend the use of this device for those people who do not have any prostheses.
Prices for non-removable structures
Prices for non-removable denture models vary depending on the amount of restoration work required, the material used to make the prosthesis, and the degree of complexity of its installation. The average price for a ceramic inlay is from 2,000 to 50,000 rubles, depending on the category of the clinic. In addition, it is necessary to add the cost of dental treatment. The installation of any inlay model requires careful preparation of the oral cavity.
As for the cost of veneers, here the restoration of one tooth on average costs the patient from 15,000 to 50,000 rubles in economical and premium dental clinics, respectively. Innovative crown designsfrom solid ceramics with manufacturing and installation will cost from 18,000 to 50,000 in blades of various price segments. In the case of implants, the cost of the implantation procedure itself should be added to the cost of the crown. In Moscow, it will cost 30,000 rubles in economy class clinics and 80,000 rubles in the premium segment.
Reviews on fixed prosthetics
Prosthetics with fixed dentures helped many patients solve problems with the oral cavity.
A case was noted of a patient who had had unhe althy teeth all her life. When visiting the dentist, the doctor advised her to install a ceramic-metal bridge, which includes four teeth. Two weeks later, the prosthesis was ready. Getting used to it was very easy. The metal did not cause any allergies. The color of the artificial teeth turned out to be identical to the natural shade.
In a patient who installed a pair of cermet bridges, the result exceeded all expectations. The design made it possible to chew any food.
Many patients note the high functionality of ceramic-metal inlays. They retain their original appearance for a long time and look better than a filling.
What about dental implants? How do patients rate these fixed dentures? Reviews indicate that they are given the greatest preference. According to patients, the implantation procedure does not cause any inconvenience, and the healing of the gums is faster than expected. The implant takes root quickly and completely performsfunction of a he althy tooth.
