Disease of the gums and teeth is one of the most common problems of our time. WHO statistics show this. Almost 80% of the world's population suffers to some extent from diseases associated with gums or teeth. Improper nutrition, poor ecology, poor hygiene and even the lack of the necessary amount of vitamins in the body leads to the destruction of teeth and gums. Fortunately, the problem of teeth in our time can be solved with the help of partial or full prosthetics.
What dentures and methods of their installation offers modern dentistry to restore the dentition, and how do they differ? Is it worth overpaying for non-removable prostheses of the new generation or is it better to use the traditional options with removable prosthetics?
Restoration or prosthetics?
Dentists share the restoration of teeth into two categories:
Restoration of teeth is much more expensive, but it is also more effective, because in fact it is possible to save the patient's own tooth. The fact is that during restoration, a pin is inserted into the remnant of the molar tooth, for further installation of the crown. After the restoration of the tooth does not appear rejection from the body, but to restore this method, the teeth can only be in isolated cases.
When most of the teeth are already at the stage of deformation, it is best to use prosthetics. It is not only cheaper, but also spends less time creating and installing the structure.
New generation of removable dentures
A few years ago, prosthetics were something frightening. Stories that prostheses need to constantly take off before bed and putting them into a glass of water frightened and repelled many patients who wanted to restore the dentition, but modern dentistry has undergone great changes. Now prosthetics includes the use of only the latest materials and techniques. The main advantage of modern prostheses is the creation of a structure that does not cover the palate, and therefore does not cause discomfort to people.
Materials are selected for each patient individually. Everything depends not only on the monetary possibilities of a person, but also on his organism. More precisely, before the prosthesis is made, the necessary analyzes are carried out and only then the construction and material is selected.
From all types of materials for prosthetics, acrylic is the most popular. Alas, this is due to the low cost and natural shade of the teeth, but the positive aspects of the material end there. Acrylic is a fragile and delicate material, which also has a porous structure. This leads to the fact that these prostheses are simply unable to chew solid food, and porosity causes the rapid spread of pathogenic bacteria. In addition, acrylic is easily deformed, so dentures should be frequently inspected and restored.
Removable dentures without the palate, made on the basis of nylon, are suitable primarily for allergies. This is a soft plastic that does not cause discomfort in the mouth, and also does not cause allergic reactions. Dentures are attached with suction.The cost of this design is small, so this is a great option for restoring the dentition.
Cons nylon material in softness, because it is the same as acrylic, deformed under high loads. More precisely, using it to chew solid food does not work out, because over time it causes atrophic processes not only in the bone and gums.
Modern byugelny prosthesis has dramatic differences from acrylic or nylon designs. It is based on a strong metal arc, which is a support for the further installation of artificial crowns. This feature allows you to rigidly fix the prosthesis, which increases the durability and reliability of the structure. Even despite the use of a metal material, the prosthesis remains light and aesthetic.
A similar design can be used to restore two or more teeth, there is no need to remove it at night, and it comfortably lies in the oral cavity, but there are also negative sides. Clasp prosthesis is more expensive than acrylic or nylon structures and, unlike them, addiction takes longer.
The version with telescopic prosthetics is the most expensive and reliable among all the structures that modern dentistry offers. The principle of creating a prosthesis is that caps similar to thimbles are put on the abutment teeth and cemented. After this stage, this part of the structure becomes non-removable. The prosthesis which mounted on supports. In fact, the installation of the prosthesis on the supports resembles the rings of a telescope. That is why this method of restoring the dentition is called telescopic prosthetics.
Telescopic Dentures have a lot of advantages, among which are:
- distribution of chewing load;
- diction does not change;
- restoration of the prosthesis during deformation.
The only disadvantage of this design is the high cost and replacement of crowns every 4 years. This is due to the possible loosening and loss of adhesion between the crowns.
Modern non-removable dentures
In the field of dentistry, non-removable dentures are gaining more and more popularity. This is not surprising, because with their help you can restore both 2 teeth and the whole dentition. In addition, no one can distinguish them from natural teeth.
The choice of suitable fixed dentures may be the only problem, because the range is truly great.
The variant with the installation of bridge structures is indispensable in cases where it is necessary to restore 2 consecutive teeth. The peculiarity of the restoration is that 1 or 2 crowns are attached to a special bridge, which is subsequently installed on adjacent teeth. Pre-adjacent teeth accounted for grind down to install bridge and this is the only disadvantage of this prosthesis.
Implants are to some extent prosthetic, but have their own characteristics. For example, only one tooth is restored with the help of implants. More precisely, a tooth simulator is installed, which is implanted directly into the bone. This method allows you to save the physiological, chewing properties, and therefore, the problem with the distribution of the load on the dentition disappears.
When choosing implants should pay attention to the materialbecause it depends on the durability, strength, aesthetics and cost of the prosthesis.
- Cobalt and chrome alloy implant can be called the most popular option to date. This is a strong analogue of teeth, which can last more than 11 years, but its appearance leaves much to be desired. That is why this option is only suitable for the replacement of chewing molars.
- Metal ceramics are used primarily to create the front teeth, because of this material obtained embossed, anatomically accurate shapes of the teeth, not to mention the natural color. Implants from this material have high strength and impact resistance, so they can last more than 15 years. The crowns do not darken over time, but in some cases they can be given out by a metal mount at the point of contact with the gum.
- With the advent of metal ceramics, porcelain has ceased to meet expectations. This material is not afraid of temperature fluctuations, it is not susceptible to dyes, but the strength is much inferior to metal-ceramic implants.
- Creating implants of zirconium dioxide is carried out using computer technology, so you can not worry about the quality and naturalness. At the exit it is easy to get an anatomical copy of a native tooth. It is possible to distinguish an implant from a natural tooth only with the help of luminescent illumination. In addition, this material does not cause allergic reactions and rejection by the dental tissues.
- Gold is used primarily to restore distant molars. This material does not cause an allergic reaction, withstand stresses and temperature drops. Gold does not form caries, but the price of implants is not suitable for all patients.
What dentures to choose?
Removable dentures immediately begin associate with old age. This is normal, because by and large many grandparents have dentures that need to be removed every night and put in a glass of water. Such designs gradually disappear from the arsenal of dentists, and they are replaced by dentures of a new generation without the palate, which are distinguished by their natural appearance, durability and high level of comfort. There was even an option to install non-removable dentures, although very few people know what their main advantages are.
Before choosing a removable or non-removable denture, you should ask a series of questions and answer them.
- How many teeth do you need to restore? If we are talking about a few teeth, then use a removable denture does not make sense. It is better to install non-removable implants, while leaving a number of native teeth.
- Which effect is more important? In cases where you just want to restore a beautiful smile, removable acrylic dentures will do. This design is inexpensive, but it has a significant disadvantage in strength. Therefore, if not only beauty is important, but also the functionality of the teeth, it is better to choose implants even despite their high price.
- What is the price of the issue? Fixed prostheses are a rather expensive construction. If the issue price comes first, it is better to choose a removable denture, even despite the worst quality and discomfort. In any case, it is better and more important to consult a dentist who will help you choose the best option, taking into account the quality of the construction and the price.
Many patients buy fixed structures. even for a high pricedue to psychological discomfort. The idea is that the prosthesis may fall out from behind the mouth and many are afraid of it. Modern prosthetics takes into account such a problem, which was manifested in the old models of dental structures and now there is nothing to worry about. Acrylic and nylon models are firmly fixed in the mouth, and the clutch prostheses are completely protected even from loosening.
Advantages and disadvantages
Removable prostheses have their advantages and disadvantages compared to the same non-removable design. They are much cheaper, easy to install and manufacture. Of the minuses should be highlighted low strength, uneven distribution of the load on the dentition, high hygiene requirements, the occurrence of inflammatory processes. In addition, many patients removable dentures without palate can cause discomfort and cause gag reflexes.
Non-removable structures are stronger, able to withstand even a strong blow. It is possible to care for such a structure in normal mode, without fear of the occurrence of the inflammatory process, but you have to pay for such advantages. almost twice as much.
When one or a number of teeth are destroyed, one should install non-removable or removable prostheses of a new generation. Their cost varies depending on the material and design, so it is recommended to consult with a doctor beforehand. The main thing is to choose the best option for yourself in order to return to its former beauty and not get rid of discomfort.