Dental prosthetics. Types of orthopedic structures.

Dental orthopedics combines many techniques for restoring units. Thanks to modern methods, it is possible to restore a tooth’s appearance, correct its shape and change the color of the enamel. Dental orthopedics is not only about restoring aesthetic parameters. This is essential for overall oral health. The fact is that the absence of even one unit can lead to unpleasant consequences: atrophy of the jaw tissue, displacement of teeth, the formation of gaps between units, disruption of chewing function, and so on. We will look at the benefits and what they are in more detail below.

Benefits of dental orthopedics

This direction in dentistry has several significant advantages:

• In a short period of time, aesthetic values ​​can be restored.
• It has a reasonable price, especially when it comes to dental products that can be removed independently.
• Easy to carry out hygienic manipulations.
• You can choose different designs and select suitable fastenings.
• Any number of units can be restored, even with complete edentia.
• Dental orthopedics reduces the risk of developing bone tissue deficiency if the product involves a full load on the jaw.
• Minimum contraindications.
• Long service life. In most cases, artificial products will last more than 5 years.
• Chewing function is restored.
• The serious psychological consequences that arise from missing units can easily be avoided.

A dentist will help you decide on the type of product. The specialist will assess the condition of the oral cavity and advise (taking into account financial and physical characteristics) which design is right for you.

Fixing creams

It is especially worth noting that in some cases, the system of prosthetic care products includes fixing agents, especially when the prosthesis has just been installed and one is getting used to it. This helps solve a number of physiological and psychological problems. Retention devices also give a person confidence that the denture will not fall out of the mouth. Fixation means are selected depending on the individual characteristics of the patient.

Doctor - dentist - orthopedist of the Dentalika clinic Belov S.A.

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What types of dental orthopedics are there?

First of all, dental orthopedics is divided into two main areas:

• Fixed. These elements are installed in the dental office. You won't be able to remove them at home. They are fixed in various ways for a long time. Such products are removed only when absolutely necessary, also in the dental office. Experts recommend this technique in the absence of one or more units. When using these elements, you don't have to worry about artificial units falling out at the wrong time. Fixed orthopedics, as a rule, creates a more natural aesthetics than removable structures.
• Removable. From the name you can easily understand the essence of these products. In this case, we are talking about false jaws, that is, at any time a person can remove this prosthesis from the oral cavity and easily return it to its place. Most often used by older people with complete edentia.

If you want to install permanent products, then the dental clinic will offer you the following options:

• Ceramic filling or inlay. It is made from an impression in the laboratory. Used for chipped or significant tooth damage due to caries activity. This design is much better than a conventional filling and will last at least 3 years.
• Dental Crowns. They are made of ceramics, cermets or plastics. Used to restore one or more teeth.
• Dental bridge. It consists of several crowns combined into a single element. Replaces from 2 to several units, looks like a bridge supported by natural teeth.

Removable dental orthopedics, based on the material and fastening method used to create a fully removable or partially removable dental structure, is divided into the following types:

• Acrylic. Dental orthopedics using acrylic dentures is very popular. First of all, this is the cheapest option for restoring teeth. The dental element consists of a curved arch, which has a simulated part of the gum and artificial units. A significant disadvantage is the frequent occurrence of an allergic reaction to the material used.
• Nylon. This material is several points superior to acrylic, so the price is also slightly higher. More comfortable to wear, nylon is less likely to cause an allergic reaction, and is comfortable for daily wear.
• Bugelny. Metal-ceramic crowns are firmly held on a metal arch, which distinguishes it with very strong fixation. Bone tissue atrophy is excluded, since the clasp prosthesis evenly distributes the load. The best choice when restoring several missing teeth at once.

There is also a technique for restoring dentition, which is popular with most patients. Adhesive dental orthopedics is a relatively new technology in dental practice. Its peculiarity is the absence of turning of support units.

Video about types of orthopedic structures

Stages of prosthetics

Treatment consists of the following stages:

• Initial consultation with an orthopedist and examination of the oral cavity;
• Examination of the condition of the patient’s teeth, gums, and jaw bones (carried out using radiography, OPTG, CT);
• Analysis of examination results and development of a treatment plan;
• Selecting an orthopedic design taking into account the patient’s wishes;
• Preparation of the oral cavity, elimination of local contraindications - includes treatment of all dental pathologies and professional hygiene;
• Taking impressions of the jaws and transferring them to the dental laboratory;
• Manufacturing of the selected design;
• Installation of the finished product in the oral cavity;
• Advice for patient use and care.

What problems can be solved with dental orthopedics?

With the help of dental orthopedics, the following problems can be solved:

• Replace missing units with a prosthesis.
• Restore a severely damaged tooth
• Restore chewing function in complete absence of teeth.
• Prevent jaw tissue atrophy.

Dental orthopedics is designed to restore lost or damaged units. If only 1-3 teeth are missing, experts recommend installing non-removable dental products. If more than 3 teeth are missing, a clasp denture can be installed. Acrylic or nylon products are most often installed in the absence of a large number of teeth; they will cost much less, but in terms of comfort and aesthetic indicators they will be inferior to more expensive analogues.

With complete edentia, there are two scenarios for the development of events.

1. The most common option is to make a completely removable structure from acrylic or nylon. It's fast and inexpensive, but sometimes it causes discomfort, which, however, can be fixed.
2. But, if you have a budget, then it is better to install ceramic crowns supported by implants. This option will look much more aesthetically pleasing, and most importantly, it is more reliable and does not cause inconvenience.

If there is a badly damaged tooth, it can be restored by installing a ceramic filling or inlay, which will last much longer than a composite filling.

If dental orthopedics turns you off due to the need to sharpen adjacent units, there is a way out! In this case, give preference to the adhesive method of orthopedics. This technique is more gentle and eliminates the negative impact on supporting teeth.

How does the process of dental orthopedics work?

Regardless of the type of product, any dental element must be manufactured individually, taking into account anatomical features. Dentures are made in a laboratory.

• The patient must come for the first consultation, during which the doctor will help determine the choice of type of prosthetics, and may also prescribe additional tests.
• On the same day, an x-ray is taken to assess the condition of the oral cavity and bone tissue.
• Next, the preparatory process usually begins, which includes the necessary procedures to eliminate diseases of the teeth and gums.
• Then an impression of the teeth is taken, from which the technician makes a plaster mold, on the basis of which the entire structure is cast.
• Once the prosthesis is ready, it needs to be tried on, the dentist will look at how well the structure fits, and the patient will point out the shortcomings that need to be eliminated in the laboratory.
• The final stage will be the final installation of the orthopedic structure in its place. If this is a removable denture, then the dentist will help with installation the first time, but in the future the patient will no longer need additional help and will independently cope with its installation or removal.

Orthopedic structures

Dental crowns, bridges and veneers.
Reliable and aesthetic.

• Guarantees great appearance
• Easy to care for
• Excellent functionality without surgery
• Quick adaptation period

Implants and dentures on implants.
Gold standard.

• The best treatment method
• 1 time - for life
• Most comfortable, natural and aesthetically pleasing
• No grinding of living teeth
• Bone preservation

Dentures.
Fast and affordable.

• Easy restoration of functions
• Affordable price
• The best option if implantation is not possible

Why is it better to undergo treatment at Dentli dentistry?

1. A team of specialists. Highly qualified and experienced therapists, orthopedists, implantologists and dental technicians will work on your smile.
2. Complex treatment. Specialists don’t just solve dental problems, but take a comprehensive approach to treatment and prevention of further diseases.
3. Individual approach. The most suitable optimal orthopedic structures are selected for each person.
4. Experience and excellent treatment results. Our dentists have extensive experience, so they use proven techniques to ensure excellent treatment results. The clinic has been providing dental prosthetics since 2012.
5. Use of advanced technologies and equipment. At the Dentli clinic, prosthetics are performed using modern materials, tools, devices and equipment.
6. Guarantees and affordable prices. If necessary, any orthopedic product can be replaced. The affordable cost of dental prosthetics allows everyone to undergo treatment.

4 simple steps to a new smile

High-quality prosthetics consists of a comprehensive restoration of teeth and their functions: chewing, speech, aesthetics. As a result of treatment, a person will be able to eat well, acquire a beautiful and healthy smile, and prevent further diseases.

1. Survey
   . The dentist conducts an examination, examination and makes a diagnosis. Next, he suggests methods to solve the problem and, taking into account the patient’s wishes, draws up a treatment plan.
2. Preparation
   . Professional cleaning, sanitation of the oral cavity, treatment of teeth and gums are carried out. If necessary, teeth are ground down and implants are installed.
3. Taking impressions
   . The specialist takes impressions of the teeth and transfers them to the dental technician for the manufacture of orthopedic structures.
4. Installation of the structure
   . The finished prosthesis is installed in the oral cavity, if necessary, correction is carried out until the product is 100% comfortable for the patient.

Contraindications and disadvantages

Like any other medical service, dental orthopedics in general has some contraindications. However, most of them are temporary. For example, any disease of the body in the acute stage. Of course, after recovery a person can begin prosthetics.

Fixed dentures have many advantages, but there are also disadvantages:

• They have a high cost compared to the removable option.
• It is necessary to grind the supporting units. Their appearance after the procedure leaves much to be desired.
• Not suitable for all patients. There are some contraindications.

Removable:

• Visible in the oral cavity.
• They get in the way when worn and sometimes rub the gums.
• There is a risk of jaw tissue atrophy.
• Moral discomfort, the patient constantly worries that the false jaw may fall out.
• Insufficiently stable fixation.

The following indirect factors also include contraindications:

• Pregnancy and lactation period.
• Prohibition of any type of anesthesia.
• Oncological diseases.
• Nervous system disorders.
• Minor age.
• Various blood diseases.
• Human immunodeficiency virus or complex diabetes mellitus.

Please note that indirect contraindications are relevant only for fixed structures. False teeth, which can be easily removed from the oral cavity, have no indirect contraindications for manufacture and installation.

Caring for removable dentures

To maintain the functionality and presentable appearance of your removable denture for a long time, simple daily care is necessary. Dentures do not require special care. There is absolutely no need to take them off at night. For the first couple of months, dentures should be kept in a damp environment. Fresh plastic can continue to release monomer for a long time. In air, this process can lead to the formation of whitish stains inside the plastic, and the prosthesis takes on a somewhat “marbled” appearance. This does not happen in water. Therefore, at first the prosthesis should be in the mouth, or in a glass of water.

We recommend brushing your dentures at least twice a day, and preferably after each meal, or before bed, using the same movements as you would your teeth, using a soft toothbrush and toothpaste. All surfaces of the denture are important, but special attention should be paid to the inner surface of the denture, adjacent to the gum.

There are also special solutions for caring for dentures (and special tablets for their manufacture). The prosthesis is placed in it once a day for 15 minutes to rid the surface of the structure of germs, dyes, food debris and unpleasant odors - this way the prosthesis receives more durable protection. Even more serious tablets with a bioformula are used only once a week, but this is enough - penetrating into all the cracks, such a solution removes any plaque without causing harm to the materials from which the prosthesis is made.