Telescopic prostheses are deservedly considered the most comfortable type of modern removable prosthetics. Among all the castle structures, such a device is the most reliable. Telescopic prostheses as an alternative to dental implants have been used for a very long time and are in great demand due to their maximum convenience and safety.
They got their name due to the fact that the joint of the structural parts is built on the principle of a telescope. The telescoping system can be placed on both teeth and implants.
Such prostheses are considered an excellent option for elderly patients. The designs are very comfortable to use and can be adjusted if other teeth are lost. A removable prosthesis with a telescopic fixation system can become a replacement for a large number of lost crowns.
The production of such a design is an extremely complex process. High-quality manufacturing requires the participation of a qualified dental technician, the availability of reliable materials and special devices. Even minimalviolations of production technology or the use of poor raw materials can have a very negative impact on the final result.
How the design works
Removable telescopic dentures consist of two elements.
- Removable part. It is a specific cap made of metal, which is firmly fixed on the supporting surface - a tooth or an implant. Visually, it resembles a simple thimble. The cap is installed on the supporting surface with cement.
- Removable part. This is the actual prosthesis, it can be bridge-like or clasp. A ceramic-metal crown is securely mounted in it - it remains there forever and cannot be replaced.
At the moment of connecting the removable and non-removable component, the structure is firmly fixed. A modern telescopic prosthesis makes it possible to securely fix the crowns on the abutment teeth. In addition, if necessary, the structure can be easily removed.
Varieties
There are two types of telescopic prostheses:
- cylindrical;
- conical.
The latter variety is said to be less susceptible to wear and tear during manufacturing.
The more pronounced the taper of the crowns, the less effort is needed to separate them. Such prostheses cannot warp and jam. But the disadvantage of a weakened fixation lies in the fact that the prosthesis can easily detach due to the pressure of the tongue.or sticky foods such as candy.
The use of taper crowns is advisable in all situations where the installation of removable structures is required.
Cylindrical prostheses have parallel walls that slide relative to each other and are difficult to secure. Used exclusively on teeth with intact periodontium. Due to the difficulty of production, such systems are extremely rare.
Materials used
Telescopic crowns and dentures are made from special dental alloys.
- Fixed and removable components of the system are made from the same material whenever possible.
- The alloys used for the production of prostheses are hypoallergenic and absolutely safe for he alth. Such designs are not able to oxidize while in the oral cavity.
- An excellent substitute for gold crowns are base metal alloys. When the structure is made of gold, it is more accurate, but also extremely expensive.
- From a technical point of view, the best solution is to use electroplating technology. With its help, most of the structure can be made from base metal alloys or zirconium dioxide, and the outer facade can be made from gilding. This manufacturing technology is considered high-tech.
Indications for use
Telescopic prostheses should be installed when:
- minimum number of natural teeth;
- the desire of the patient to have a smile that is no different from natural;
- poor condition of the remaining teeth and high probability of their imminent loss;
- desire for the most reliable fixation of the structure in the oral cavity.
Features of telescopic dentures
The main disadvantages of such designs are:
- relatively expensive;
- requires a large amount of free space due to the use of double crowns.
But the advantages of telescopic prostheses are much greater. The main advantages include:
- secure fixation in the oral cavity;
- aesthetic appearance - the design is completely invisible to other people;
- possibility of changing the system in case of tooth loss in the future;
- high strength prosthesis;
- no effect on normal diction;
- accessibility of tooth gaps when the design is removed, which makes it possible to fully care for the oral cavity;
- distribution of chewing pressure on the supporting surfaces, which has a positive effect on the periodontium.
Cost
The price of telescopic prostheses primarily depends on what material is used in their manufacture. An important role in their value is also played by the quantityteeth on which the system will be installed. The high price of such structures is due to the fixation of double crowns for each tooth.
The approximate cost of telescopic prostheses lies in the range of 20-24 thousand rubles. It is noteworthy that the price of crowns and clasp structures is not much different.
Lifetime
During the wear of the structure - after about 3-4 years, the crowns lose their initial fixation strength and become a little looser. In general, the service life of telescopic prostheses ranges from approximately three to ten years. To extend this period, you should correctly use the design, systematically undergo dental examinations and make the necessary correction in time.
Care
There are several rules that must be observed when using telescopic crowns:
- you can apply the design around the clock;
- remove the prosthesis only before carrying out hygiene measures;
- no need to put the prosthesis in the water, leaving it there overnight;
- to put on and take off the crowns should be exclusively in front of the mirror to prevent all sorts of defects;
- it is imperative to undergo examinations, since the prosthesis requires constant monitoring of its functions by the dentist.
Alternative
For any patient, the selection of the type of prosthetics is always quitestill a difficult task. But be that as it may, in order to make the right decision, it is very important to know about all the existing varieties of structures.
- Tooth implantation. An excellent alternative to any type of removable prosthesis, including telescopic ones.
- Regular detachable designs. They significantly lose to telescopic prostheses in the reliability of fixation and ease of use. In some cases, to mount removable structures, it is necessary to remove the patient's teeth.
- Nylon systems. Such designs are also inferior to telescopic crowns in terms of their service life. So, if a tooth is lost under a nylon prosthesis, then it will no longer be possible to change and correct it. So this solution is definitely not suitable for patients who are not sure about the future safety of the remaining teeth.
- Bugel structures with micro-locks. Such a system is considered a good alternative to telescopic crowns. However, they cannot be produced with too few remaining teeth in the patient.
Reviews
Reports about dentures with telescopic fixation systems are mostly positive. Many patients note first of all the convenience of using such structures and their reliability. Such systems remain invisible to the surrounding people and look quite aesthetically pleasing. It is almost impossible to distinguish a telescopic design from natural teeth with the naked eye.
Also,most patients talk about the maximum comfort they experience while wearing such crowns. It is thanks to the convenience, according to users, that it is easy and quick to get used to such a prosthesis.
Speaking of comparative evaluations, there are often reviews in which patients share their experience in using similar structures that lose in their characteristics to telescopic crowns. For example, often people prefer such prostheses after using clasp and acrylic systems, mentioning the inconvenience of the latter. By the way, such crowns are installed much longer. According to patients, with telescopic structures, you can completely forget about their presence in the mouth. Such a product will help anyone feel young and attractive again.
Another advantage of telescopic prostheses, according to users, is the ease of care for them. On the recommendation of patients, special tablets can be used that greatly simplify hygiene procedures. Removing and putting on crowns is also quite easy and simple, it does not take much time.
As for the negative reviews, almost all of them are devoted to the too high cost of telescopic structures. Although, at the same time, many patients believe that such an impressive price is fully justified by the unsurpassed quality and comfort of the crowns. In their opinion, a snow-white attractive smile obtained with the help of telescopic prostheses is definitely worth it.
