Prosthetics of teeth in their complete absence. Removable dentures: which are better, reviews

Used by most people on our planet. They are very comfortable and functional in the absence of a large number of teeth. However, this type of dental appliances is not customary to advertise. Patients try to hide the fact that a large number of their teeth are missing and practically do not talk about removable dentures. In this article, we will try to answer the most common questions from patients, for example, should dentures be removed at night?

Before we consider whether dentures need to be removed at night, let's examine them from the side of the dental device. Dentures are used when one or more teeth are missing. Fitting dentures is very important for oral health. The fact is that the absence of even one tooth will immediately lead to the movement of the rest. And this, in turn, threatens to fall out of the rest.

Removable dentures are made by casting from. The use of such a material makes it possible to maintain the strength, color, density and shape of the product for a long time. In addition to dentures, artificial teeth are produced, which differ in size and color. Thanks to this versatility, during prosthetics, you can immediately select the set of teeth that the patient needs.

Late installation of prostheses leads to the following problems:

The periodontal gap expands and becomes very noticeable.
The antagonist tooth moves.
A periodontal pocket is formed.
The bone will atrophy.
Proximal caries appears on the teeth.

Especially the absence of lateral incisors should not be neglected. Such a loss will eventually lead to problems with the digestive organs.

Note that the installation of removable dentures is the cheapest way to restore chewing function.

Types of removable dentures

In dental practice, the following types of removable dentures are known:

Bugel models. Such prostheses are made of metal, ceramics, zirconium and plastic. The support is made of metal, the body is made of plastic and other listed materials. The most important advantage of the design is that the load during chewing is distributed evenly between the jaw, gums and other teeth. Depending on the type of fixation, clasp models are: with locks, with a telescopic crown, with clasps. This type of prosthesis is used for temporary and partial absence of teeth. often used for tooth movement and periodontal disease.
telescopic products. These prostheses are made of metal, the product is covered with acrylic or ceramics on top. The product is mounted on the principle of a telescope. The base cutters themselves are well turned. They are further put on cone-shaped systems. The secondary parts are fixed on the cones.
Immediate prostheses. These devices are used when only one tooth is lost. Basically, the immediate prosthesis performs only an aesthetic function, covering the free space. These devices are installed temporarily, immediately after removal or before a permanent prosthesis. The design of such prostheses has an interesting mount, resembling a shape.

The choice of the type of prosthesis depends on several criteria:

The first criterion: the number of missing teeth. In the absence of several teeth, it is preferable to implant an implant.
Second criterion: what final result is expected. To restore proper chewing function, it is best to use.
The third criterion: how comfortable the applied system should be. Removable structures must be removed at night. This fact must be taken into account.
The fourth criterion: what financial possibilities the patient has. The most inexpensive option is removable plastic models.

Full dentures are used if the patient has a lack of many teeth in one or both jaws at the same time. One plate compensates for the loss of all teeth at once.

If one or more teeth are missing in the dentition, partial dentures are used. Basically, they are installed with the loss of chewing teeth and with a defect in the entire dentition.

habituation stage

As with any external implantation, it is necessary to get used to the installation of prostheses. At the initial stage, severe discomfort will be felt. Perhaps undesirable problems with diction will arise and taste sensations will change. Against this background, it is important for the patient to show psychological fortitude.

Strong vomiting and profuse salivation are considered completely undesirable phenomena.

Oddly enough, a person gets used to permanent dentures faster than to removable ones. The entire adaptation period depends on the following factors:

Product size.
fixation method.
degree of fixation.
The reaction of the body to the introduction of a foreign body.
on the nature of the impact.

There are cases that. In this situation, you definitely need to visit the dentist, otherwise a strong inflammatory process will begin.

In order to make the process of getting used to easier, you need to adhere to the following rules:

Keep your teeth and dentures clean.
Clean installed structures with dental floss.
Regularly massage your gums.
In case of gum chafing, use.

Should I remove my dentures at night?

Modern dentures do not have to be removed from the mouth while sleeping. The most important thing is to learn how to take them off, put them on and store them correctly. To perform the procedure correctly, you can practice making movements in front of the mirror. In the future, the hands will achieve automatism and you will perform manipulations with the prosthesis professionally quickly and correctly.

It is necessary to remove dentures if:

There is an unpleasant burning sensation of the mucous membrane.
There is a strong dryness in the mouth.
A rash or other ugly manifestations are observed on the body and in the mouth.

To avoid negative cases with prostheses, the following recommendations should be followed:

For the best, in the first days after installation, it is better to remove them.
Be sure to carry out a hygiene procedure before going to bed. That is, the prosthesis must be thoroughly cleaned of food debris, rinsed and returned back to the oral cavity or left overnight in a prepared container.
The following number of hygiene procedures is recommended. Minimum number: once a day at bedtime. Maximum number: each time after a meal.
It is allowed to leave the prosthesis in the oral cavity overnight only after the hygiene procedure.
If the patient wants to take a break from the prosthesis, then it is better to simply remove it at night.
A patient with dentures should not eat sticky foods. It is also necessary to exclude too solid food. Such products may render the device unusable.
During the entire time of addiction (a couple of weeks), you need to eat well-chopped food. In this case, portions should be small. After the end of the addiction process, you can switch to a normal diet.
The prosthesis can be corrected. This is especially important if the third-party device rubs the gum and causes severe inconvenience.

storage at night

Previously, there was an opinion that dentures must be stored in a glass of water. This is wrong. Yes, a humid environment is important to the device. But only at the initial stage of wearing, which lasts for about a few months. The thing is that fresh plastic can take on a marbled appearance in air due to the process of skipping monomers. The aquatic environment excludes the occurrence of such a defect. The same moist environment exists in the oral cavity. Therefore, it is enough just to constantly wear the prosthesis and, if desired, remove it at night.

Modern dentures can be stored in a box specially designed for this purpose. The product can be wrapped in a cotton rag.

Care

If the dentures are still removed at night, then it is recommended to perform the following care steps:

The structure is thoroughly washed with boiled water. Running water is not suitable for cleaning dental devices. It contains pathogenic microbes.
For cleaning, be sure to use an antiseptic liquid and a brush.
For storage, the devices are not placed in water, but in a special solution. The liquid used helps not only to kill the bacteria that have accumulated over the whole day, but also to remove the remnants of the fixing cream from the surface.
Once a year, you should do a professional cleaning of dental devices, which is carried out in clinics.

If you do not carry out the above care measures, then the following unpleasant phenomena will occur:

An unpleasant odor will come from the dentures.
Erosion and ulcers will appear on the mucosa.
Caries forms on native teeth.
Taste sensations will not correspond to reality.
A serious inflammatory process will begin on the gums, which will eventually lead to periodontitis.
The prosthesis will eventually lose its original aesthetic appearance (the product will darken, stains and tartar will appear on it).

To return the original appearance of the product can specialists of the dental clinic. With the help of and the product will again acquire shine and grooming.

Reviews

I have known about dentures for a long time. Grandma and Grandpa have been wearing them for quite some time now. At the same time, grandfather does not take them off at all. He does not experience any discomfort from wearing. Every evening, as expected, conducts a thorough cleansing procedure. It was not possible to save natural teeth, now he is watching artificial ones. And the grandmother puts on removable dentures only during meals. She explains this by the fact that it is uncomfortable for her to be in them. In her free time from wearing socks, grandmother, in the old fashioned way, puts them in a jar of water. After reading your article, I will definitely bring it to her that it is possible to store prostheses in a dry form.

My aunt keeps her dentures in a special dry container. Before putting them inside, she cleans them with a brush and paste, then rinses with a special solution. She then wraps the dentures in a handkerchief and places them in a container. She says that she was told about this method of storage at the clinic where the prostheses were installed.

I learned from special sources that dentures should be stored as follows: first, I clean them from accumulated food debris and bacteria (I clean only with a brush with soft, fleecy bristles), then rinse with boiled water and put in a solution bought at a pharmacy. In this form, the prostheses are stored with me all night. In the morning I put them on again. For storage, I use a specially purchased container. The container is so handy that it fits easily into my purse. At the same time, the poured liquid does not spill out of the container. So I can easily carry my prostheses.

Removable dentures are used for complete or partial loss of teeth, in the latter case, this is especially true for the loss of chewing teeth. Removable dentures can be used even if one chewing tooth is lost. In the arsenal of modern dentistry, there are technologies for the manufacture of removable dentures, which have extraordinary convenience, high wear resistance and aesthetic properties. Bulky and unsightly removable dentures, which our grandfathers and grandmothers left in a glass of water at night, are gone forever. Complete removable lamellar dentures are used in the complete absence of teeth in one or both jaws. Their task is to make up for the absence of all teeth. Removable partial dentures are used in the absence of single teeth or a group of teeth in the dentition. This type of prosthesis is used for the loss of the main chewing teeth and for defects in the dentition of a large extent. They can also be used as a temporary prosthesis or when one tooth is missing. Lamellar partial dentures are used to restore lost fragments of the dentition and are the simplest and most affordable.

An immediate prosthesis can be used as a temporary structure that is applied to the jaw immediately after tooth extraction or in preparation for prosthetics with a permanent prosthesis.

Clasp prostheses (from German "clasp" - an arc) can be used in almost all cases associated with the absence of teeth, both complete and partial. The clasp prosthesis is the most reliable, expensive and convenient design. Its main difference is that the masticatory load is distributed evenly between the gingival surface of the jaw and the remaining teeth, in contrast to partial dentures, where the entire load falls on the gum. In the manufacture of such prostheses, an accurate calculation and modeling of all elements of the prosthesis is carried out. Clasp prosthesis is used for periodontal disease and increased tooth mobility.

Removable segments are unilateral prostheses used for the loss of a row of chewing teeth on one side of the jaw.

Removable dentures are usually used when one chewing tooth is lost. Such a prosthesis can be fixed on adjacent abutment teeth using metal paws. The supporting elements of such a prosthesis can be glued to the tooth or fixed with light-curing cements. The patient does not need to remove such a prosthesis, which is why it is called conditionally removable.

Modern dentures are made from dental acrylic plastics by injection molding, hot and cold compression polymerization. The use of such plastics allows the prosthesis to retain its properties for a very long time - shape, color, density and strength. Artificial teeth, which are used in the manufacture of such prostheses, are produced in the form of ready-made sets that differ in color shades, shape, and size. This allows you to choose exactly the set of teeth that the patient wants.

Modern removable dentures are fixed in the mouth in different ways. They can be fixed with the help of clasps - metal hooks that "hold" on the abutment teeth that are extreme to the defect. Clasps are made of stainless steel or noble metals with high spring properties. Thanks to these properties, the clasp securely holds the prosthesis in the mouth. Clasps are fixed at the very base of the tooth and are not visible when laughing and talking. This type of attachment can be used in partial lamellar dentures.

Removable dentures can also be fixed with the help of attachments - locks consisting of two elements. One of these elements is located inside the artificial tooth or the base of the prosthesis, and the other is on the abutment closed with a crown or in the root of the tooth. This option, compared with clasps, has a number of advantages - higher reliability and aesthetic properties.

Removable dentures need periodic cleaning, as they lie on the gingival surface of the jaw and create poorly washed zones. It is also necessary to periodically remove the dentures after eating to clean the surfaces. After that, you need to rinse your mouth well and return the prosthesis to its place. It is optimal to clean your dentures daily, at least before going to bed, and as a maximum after each meal.

Is it possible to leave a removable denture overnight? After evening hygiene procedures for cleaning the prosthesis and oral cavity, this is quite acceptable. It all depends on the desire of the owner of the prosthesis to leave it in the oral cavity at night or, conversely, to take a break from his presence. Many dentists recommend leaving a removable denture in the mouth overnight for better habituation in the first weeks after prosthetics.

Patients with removable dentures are advised not to consume viscous and sticky foods such as toffees, chewing gums, and the like. These products can stick to the denture and cause it to break. At first, you should not eat solid food. We are not talking about any special diet here, but in the first weeks after prosthetics, it is necessary to take well-chopped food in small portions. To practice chewing skills, you can use sliced fruit - they are hard enough, but not hard enough to break the prosthesis.

If a removable denture causes discomfort in the mouth or rubs the gums, you need to contact your dentist to correct it.

Previously, when the basis of a removable prosthesis was made of rubber, it was absolutely necessary to put them in a glass of water overnight, since the rubber could crack and lose shape in the air. When plastic prostheses appeared, they were also placed in a glass of water at night - apparently, according to old memory, although air is not terrible for plastic. Then publications began to appear that water in a glass is a favorable environment for the reproduction of bacteria, and dentures must be kept dry.

What about modern removable dentures? Some dentists recommend that during the first months, the prosthesis should be constantly in a humid environment - in the mouth or in a glass of water at night. They explain this by the fact that moist conditions contribute to the final formation and consolidation of the properties of the prosthesis.

From this article you will learn:

what are the types of dentures
pros and cons of different removable dentures,
removable dentures of a new generation without a palate - price 2019.

Removable dentures are those dentures that the patient can remove and put on himself. As a rule, they are made only with a large number of missing teeth - in cases where there is no possibility of fixed prosthetics or through.

In addition to traditional types of removable dentures, in recent years, conditionally removable dentures on implants, as well as removable dentures of a new generation without a palate, have been gaining popularity. Below you can learn about the advantages and disadvantages of both traditional and modern types of prostheses.

Types of removable dentures -

What kind of dentures is better to put in will depend primarily on the number of preserved teeth. One type of prosthesis is more suitable for the complete absence of teeth, the other - for their partial absence. Below we will analyze all types of removable dentures that can be made with complete or partial absence of teeth ...

1. Removable dentures in the absence of teeth -

The absence of abutment teeth in their complete absence leads to the fact that the masticatory load can be transferred from the prosthesis only to the alveolar processes of the jaws (gingiva), which always leads to fairly rapid atrophy of the gums, i.e. to a decrease in height. The latter circumstance leads to the fact that removable dentures should be changed on average every 2.5-3 years, because. the prosthesis ceases to correspond to the tissues of the prosthetic bed.

Another problem of prosthetics in the complete absence of teeth is the fixation of the prosthesis (especially when it comes to the lower jaw). There is even the term "suction cup prostheses" (Fig. 1). We are talking about plastic prostheses, which are relatively well fixed during prosthetics of the upper jaw, but in the lower jaw it is impossible to achieve good fixation of the prosthesis in principle if they are not installed under the prosthesis.

In the complete absence of teeth, apply –

2. Dental prostheses with partial absence of teeth -

Complete removable denture for the lower jaw: before and after photos

Thus, a rarefied space is formed under the prosthesis, which holds the prosthesis. That is why patients often refer to such prostheses as suction cup dentures. Moreover, it is best to make complete removable acrylic dentures on individual impression tray(remember this term), which will ensure a more accurate fit of the prosthesis to the tissues of the prosthetic bed, and therefore improve its fixation.

Which dentures are better - nylon or acrylic ...
when prosthetics in such a situation with a complete removable nylon prosthesis, there will be no “suction cup effect” due to the high elasticity of the body of the nylon prosthesis. This means that with the complete absence of teeth in the upper jaw, it is best to choose a plate prosthesis made of acrylic plastic.

When prosthetics of the lower jaw with a complete absence of teeth, the fixation of an acrylic prosthesis almost always leaves much to be desired (as with nylon prostheses), and almost all patients complain of periodic prosthesis falling out when chewing and talking. Of course, a special prosthesis can also be used here, but still the most effective solution is a conditionally removable acrylic prosthesis supported by 2-3 implants (read about this type of prosthesis below).

In terms of comfort and chewing efficiency –
plastic prostheses are superior in these qualities to nylon prostheses, because. the latter deform uncontrollably under chewing load (due to the high elasticity of nylon), causing pain when eating.

Acrylic dentures with partial absence of teeth: reviews

A partial acrylic denture will have stiff wire clasps that will extend from the plastic base of the denture and wrap around the abutment teeth (Figure 7-9). It is due to them that the partial lamellar prosthesis made of plastic is fixed in the oral cavity (Fig. 10-11).

Removable partial dentures for the upper and lower jaws -

Because the clasps are clasped precisely by the extreme teeth (located along the edges of the defects of the dentition), then if the abutment teeth are located precisely in the smile zone, the clasps will be clearly visible on the front surface of the teeth. This can be avoided only if you give preference to other types of prostheses (nylon or clasp).

In a nylon prosthesis, the clasps are made of flexible pink nylon, and therefore they are almost imperceptible against the background of the gums. However, the fixation of a prosthesis with elastic clasps will be - to put it mildly, “not important”, besides, such an elastic prosthesis will also be painful to chew. And the best solution in case of partial absence of teeth will always be only prosthetics with clasp-type prostheses (read about them below).

Acrylic dentures: pros and cons

In addition to the pros and cons that we have listed above, the advantages of plastic prostheses include: ease of manufacture, maintainability in case of breakage, relatively low cost compared to all other types of prostheses (see cost below).

The disadvantages of plastic prostheses can also be attributed –

dentures are quite massive and take up a lot of space in the oral cavity,
when prosthetics of the upper jaw (both with complete and partial absence of teeth) - the basis of the prosthesis will completely cover the sky, which will cause a temporary violation of the articulation of speech, and also worsen taste sensitivity due to the overlap of taste buds located in the sky,
when prosthetics of the lower jaw with a complete absence of teeth - the fixation of the prosthesis will be quite poor (as with nylon prostheses), and there can be only one way out of this situation - a conditionally removable acrylic prosthesis supported by 2-3 implants.

Service life of acrylic dentures –
the recommended average service life is 3-3.5 years. However, it can be adjusted depending on the rate of atrophy of the jaw bone tissue. With an increased rate of atrophy, the service life is reduced to 2.5 years, with a slower rate of bone tissue atrophy, it can increase to 5 years.

Plastic prostheses: prices 2019

Prices for acrylic removable dentures are for 2019. The first figure corresponds to economy-class clinics, the second - to clinics of the middle price segment (we recorded the lowest prices in paid departments of state dental clinics).

Complete removable acrylic denture –
→ in the regions - from 12,000 to 20,000 rubles.
→ in Moscow - from 14,000 to 20,000 rubles. (but if from expensive materials and on an individual impression spoon, then the price will be about 25,000 rubles).

On a partial removable denture –
prices in most clinics will be similar to a complete removable denture (or only slightly less, but no more than 10-15%). But a butterfly prosthesis for one tooth - the price will be from 6500 rubles.

2. Removable dentures made of nylon -

These are the so-called soft removable dentures made of elastic nylon (Fig. 13-15). They are used for complete and partial absence of teeth. Thanks to the properties of nylon, dentures made from this material can be made thinner and lighter than plastic dentures. In addition, nylon has a high degree of elasticity and flexibility, which makes these prostheses more comfortable to wear.

In addition, removable dentures made of nylon have very good aesthetics and are almost invisible in the oral cavity. This is due to the fact that the gingival clasps of the nylon prosthesis (necessary for its fixation) are also made of pink nylon, which makes them invisible against the background of the pink gum shell. In turn, for plastic and clasp prostheses, the clasps are made of metal, and therefore they are clearly visible when they are in the smile line.

Dentures: photo

However, this is where the positive properties of such prostheses end. in the overwhelming majority of cases, they are negative, which is connected, paradoxically as it may seem, precisely with the flexibility and elasticity of such prostheses. All the negative properties of nylon are fully manifested precisely when chewing pressure is transferred from a soft elastic prosthesis to the tissues of the prosthetic bed.

The high elasticity of the nylon prosthesis base leads to –

to rapid atrophy of bone tissue under the prosthesis,
rapid subsidence of the prosthesis and the need to replace it,
painful chewing of food
the need for frequent corrections of the prosthesis,
in addition, the prosthesis has a rough surface, which leads to a fairly rapid formation of a bacterial film on its surface.

Removable nylon dentures: price

For removable nylon dentures - the price is indicated for 2019 (the first digit is the cost in economy class clinics, the second - in clinics of the middle price segment) ...

complete removable denture - from 32,000 to 47,000 rubles.
partial removable denture - from 26,000 to 40,000 rubles.
butterfly dentures made of nylon (for 1-2 teeth) - from 17,000 rubles.

3. Removable dentures "Acry-free" -

Acry-free material was developed by Perflex Ltd (Israel) for partial and complete removable dentures. It has amazing aesthetic properties, i.e. the basis of the prosthesis is practically indistinguishable from the oral mucosa. The prosthesis clasps are also made of a translucent material, which makes them invisible - unlike the metal clasps of the clasp and traditional acrylic prostheses.

Cost of Acry-free prostheses –
the prices below are turnkey in clinics of the middle price category. The average price in Moscow for Acry-free prostheses in 2019 will be…

partial removable denture - from 30,000 to 37,000 rubles.
complete removable prosthesis - from 40,000 to 47,000 rubles.
prosthesis for 1-2 teeth - about 20,000 rubles.

4. Clasp dentures -

Let's say right away that there is nothing better than clasp prostheses with partial absence of teeth. Prostheses of this type differ from nylon and plastic prostheses in that they have a metal frame (arc) inside. The use of a reinforcing metal frame, on which a pink plastic or nylon base with artificial teeth is then installed, can significantly reduce the size of the prosthesis base.

So, for example, it is possible to make a removable prosthesis for the upper jaw without a palate, or rather, only a thin metal arc will pass through the palate. On the lower jaw in the sublingual space there will also be no massive prosthesis base, because. there will also be a practically imperceptible thin metal arc (Fig. 6). All this gives high comfort when wearing a prosthesis, talking, eating.

Removable clasp prosthesis on the upper jaw: before and after photos

Removable clasp prosthesis on the lower jaw: before and after photos

Fixation of clasp prostheses on the abutment teeth is carried out in two ways –

Advantages of clasp prostheses -

5. Removable dentures on implants -

Conditionally removable dentures on implants are called “conditionally removable”, because. despite the fact that the patient can remove and put on such a prosthesis at any time, the latter is very securely fixed on the implants. This design resembles prosthetics with a clasp prosthesis with a lock fastening, only the micro locks here are not on metal-ceramic crowns, but not on the protruding parts of 2-3 implants.

If you have a completely edentulous lower jaw or edentulous jaws with a high degree of bone atrophy, then only this method of prosthetics can achieve good fixation of a removable denture. In addition, in such prostheses, the basis of the prosthesis is much smaller than in complete removable dentures made of nylon or plastic. Some sources also call this type of prosthesis the term - covering dentures.

Covering dentures on implants - options for prosthetics

Prosthesis on implants with push-button microlock(Fig.15-17) -
2-3 mini-implants are implanted into the jaw, into which spherical attachments are then screwed (they will protrude above the surface of the mucosa in the form of metal round heads). In the projection of the attachments on the inner surface of the body of the removable prosthesis, recesses are made into which the fixing mechanism is inserted - silicone matrices.
When you put on the prosthesis, the heads of the attachments fall into the locking mechanism (silicone matrix), and the prosthesis is securely held. Such a prosthesis can never fly off on its own. You can remove it only with a little effort by hand. With such a prosthesis, you can comfortably chew, confidently talk with other people, without fear of falling out of the prosthesis.

Prosthesis on implants with a microlock of the beam type –
2-3 implants are also implanted into the jaw, on which a metal beam is then fixed. In the projection of such a beam on the inner surface of the body of the removable prosthesis, a recess is made corresponding to the exact size of the beam, and one or more silicone matrices are inserted there, which, when the prosthesis is put on, will tightly wrap around the beam.

Modern dentistry works wonders. However, keeping teeth in old age is not so easy. In any case, there is a need for prosthetics. At the moment there is a wide choice of products. But, despite this, many do not know which dentures are best to put. Reviews of dentists show that any particular type of product has its own advantages and, of course, disadvantages. All this must be taken into account in the process of choosing a material.

Types of dentures

To answer the question of which dentures are best to put, several factors must be taken into account. It is very important. First of all, the structures should not partially, but completely restore the functions of already lost teeth. In addition, the choice of prosthetics method depends on financial capabilities, and should also be based on the goals pursued. First you need to understand what kind of dentures exist in general. Which is better to put, the dentist will help determine. Here are the main types of dentures:

Metal. As a rule, they are made of steel or gold.
Metal-ceramic.
Combined. In this case, the front side of the prosthesis can be made of plastic, and the back - of metal.
Ceramic.

It is worth noting that dentures are made not only from different materials, but also come in different shapes. They can be made in the form:

Single crown.
Bridge prosthesis.
artificial structures.

Determining which dentures are considered the best is not so simple. Each of the varieties has its own advantages and features. The main difference lies not only in the cost of finished structures, but also in aesthetic qualities.

Do not forget that dentures are of several main types: removable and non-removable. They also have significant differences. First of all, fixed constructions are fixed on the teeth by the dentist only for a certain period.

Which removable denture is better to put

First of all, it is necessary to determine what kind of orthopedic system is needed. Removable structures are classified into several main groups. Among them:

conditionally removable;
partially removable;
complete removable.

The range of such products is quite large, and when choosing a design, you should listen to the opinion of experts. The above types of prostheses have their own characteristics. The choice of a particular orthopedic design depends on how many intact and healthy teeth are left in the oral cavity. In this case, the product must fully perform its functions and not cause discomfort.

Removable dentures full

If it is possible to hook the orthopedic structure, then the dentist can install only the clasp system. It differs not only in aesthetic appearance, but also in good quality. But what kind of dentures is better to put, if there are no teeth at all? In such a situation, complete removable structures are suitable. This is the only alternative for edentulous both or one jaw. Such structures are made, as a rule, from nylon or acrylic. It should be noted that the technology of manufacturing dentures has undergone some changes. As a result of this, products have become more durable and accurate. Improved models are now more practical and devoid of such shortcomings as unreliable fixation in the oral cavity, as well as unsatisfactory appearance.

Dental prostheses made using modern technology are distinguished by a high rate of wear resistance. With proper care and compliance with all hygiene rules, such orthopedic structures can serve for a sufficiently long period. At the same time, the appearance, as well as the color and density of the products will remain practically unchanged. It should be noted that recently they began to produce complete removable structures taking into account all the wishes of the client and, of course, the individual characteristics of the oral cavity.

A secure fit is important

So, what kind of dentures is better to put in case of loss of all teeth, figured out. However, many patients doubt the reliability of fixation of complete removable structures. In order for the prostheses to hold securely, they should be placed on implants that are previously implanted in the jaw. Of course, there is also a more expensive option. In this case, dentures are installed, which are equipped with special suction cups. However, such designs are not recommended to be installed on the lower jaw, which differs from the upper jaw in greater mobility. It is worth noting that removable dentures look no worse than natural teeth. Adaptation to such products proceeds quickly and painlessly.

Acrylic or nylon?

Which dentures are considered the best today: acrylic or nylon? It is rather difficult to answer this question unambiguously. To understand this and understand which dentures are better to put, you should consider all the advantages and disadvantages of the products.

Flexibility and, of course, lightness. These indicators affect the strength of structures. For example, nylon dentures are very flexible, soft and light due to the material. However, such structures are very difficult to break. In terms of flexibility and strength, acrylic prostheses are inferior to nylon ones. But such structures are able to retain their shape for a long time. In addition, acrylic dentures are lightweight.
Hygiene. This indicator is of particular importance to many. Nylon orthopedic structures do not emit odor, are non-toxic, and also do not absorb moisture. Acrylic dentures have an exceptionally porous structure. It is because of this that a large number of bacteria accumulate on their surface, which can cause the development of inflammatory processes in the oral cavity.
Appearance. What dentures are better to put so that they do not stand out much? Nylon designs are best suited for color and shape. In addition, they are able to maintain an aesthetic appearance for a long time. The disadvantage of these prostheses is the translucence of the teeth at the junctions. As for acrylic removable structures, they can be selected not only in shape, but also in color.
Hypoallergenic. In this regard, nylon structures have good biocompatibility, which cannot be said about acrylic prostheses. They can cause local and general allergic reactions.
Price. Nylon removable dentures are more expensive than acrylic ones. The problem is that they are made abroad. If we compare the cost of implantation and installation of removable dentures, then the cost of the latter method of prosthetics can be called democratic.

Removable partial systems

What dentures are better to put on chewing teeth with their partial loss? In this case, partial removable structures should be used. Such dentures are made on plastic or metal frames. They allow you to fill the gaps that occur after the loss of teeth. Most often they are installed:

in those situations where adjacent teeth cannot be used as a support for the installation of a bridge;
with a significant row defect. For example, in the absence of several teeth in a row;
as a temporary measure, while a more reliable and high-quality design is being manufactured.

There are several main types of removable dentures:

immediate prostheses;
segment, or sector, removable structures;
products on telescopic crowns;
clasp systems;
lamellar plastic prostheses.

Lamellar plastic structures: features

What dentures are better to put as a temporary measure? Some experts recommend using plastic plate structures. Their cost is relatively low. However, in the process of chewing food, such systems do not ensure the correct distribution of the load on the gums. The positive side of such structures is simple fastening. If necessary, you can independently remove and then replace the denture. This allows you to carry out its hygienic treatment without the help of others.

As a rule, lamellar plastic prostheses are used exclusively to restore missing teeth. In fact, these are the simplest orthopedic structures that have a low cost. With their basis, such systems rest on the surface of the gums and are held by the nearest abutment teeth thanks to metal hooks - clasps.

Also in dentistry, immediate prostheses are used as temporary structures.

Clasp systems - medical dentures

What is better to put constructions with a shortage of only a few teeth in a row? Of course, clasp systems. They are considered comfortable and reliable even with prolonged use. The main feature of the designs is the uniform distribution of mechanical loads on the gums and remaining teeth when chewing food.

Features of clasp systems

The basis for the clasp systems is a frame, which is a metal arc with all fastening, fixing and functional elements. This part of the structure is made only individually and by high casting. The frame is made of high-strength alloys, for example, titanium, gold-platinum and chrome-cobalt.

Install such prostheses for periodontal disease and as a medical device.

Other types of removable dentures

There are situations when only one side of the dentition falls out. In such situations, removable sectors are usually installed. These are one-sided structures that are attached with special hooks or attachments.

If one of the teeth is not in the row, which dentures are better to put? Photos of patients after the installation of conditionally removable structures confirm that such systems are able to restore the aesthetic. As a rule, such orthopedic systems are made of plastic or ceramic. They look natural and are not conspicuous. Orthopedic constructions of such a plan are fixed thanks to special locks to the abutment teeth. Fasteners are built into the crowns. The main disadvantage of conditionally removable dentures is that it is impossible to get them on your own. Only a dentist can do this.

Fixed orthopedic constructions

In addition to removable dentures, there are systems that are attached exclusively to a specific place. They completely restore the chewing function and perfectly replace the missing fragments of the row. However, such designs have one drawback - they cannot be removed independently. This can only be done by a dentist using special tools. These dentures are non-removable. There are several main types:

dental crowns;
bridge prostheses;
tabs;
veneers;
implants.

Which dentures are better: removable or non-removable

To make the right choice, several factors should be considered:

Number of lost teeth. For example, if one or two are missing, then you can resort to implantation, install a conditionally removable prosthesis or a crown.
Fixed constructions restore chewing function much better. To get an attractive smile, you should use conditionally removable dentures or install veneers.
Removable structures must be periodically removed and cleaned and processed, as they fit snugly against the surfaces of the gums, thereby creating places that are hard to reach for the brush.
Price. Many methods of prosthetics require considerable costs. If the financial situation does not allow, then you will have to choose from inexpensive methods. The most budget option is metal or removable systems made of plastic.

We will tell you in detail how to quickly get used to removable dentures with the least unpleasant consequences. After all, the end of the period of completion of work on their installation can only come when the patient fully adapts to new sensations.

Initially, a person gradually got used to using the dentition with lost units. He had to talk and eat with partial or complete. After installing an artificial structure, you have to re-accustom yourself to talking, chewing, sleeping, etc. Not everyone has such a transition with ease.

How long does it take to get used to dentures?

Adaptation takes a different amount of time. It all depends on the sensitivity of the patient, whether he adheres to the recommendations of the doctor and the design features. For example, fixed permanent prostheses, such as implants and crowns, make it possible to get used to them in a short time - up to a week, or even a few days.

If we talk about acrylic or nylon, then the addiction process will be much more difficult and longer. To go through this stage easier, you need to follow the rules and recommendations that the doctor will tell you about during installation.

In the case when the patient lived for some time completely without teeth and the fixation of the prosthesis is based only on the gums, addiction can take up to six months. And one more nuance - the lower jaw adapts to a foreign object longer than the upper one.

Useful exercises and gymnastics

How long the addiction will take depends on whether the person performs the exercises and whether he properly cares for the prosthesis.

Reading aloud, measured and expressive.
Permanent wear design, without removal.
Sufficient chewing load. An apple is best. Cut it into small pieces and gradually chew.
Regular cleaning of dentures. Twice a day it needs to be cleaned with a brush. And after each meal, rinse your mouth thoroughly.
If you experience vomiting due to the presence of a prosthesis, you need to breathe deeply, drink plenty of fluids and suck on mints.

Most of the exercises are related to the restoration of articulation and chewing, so we will talk about them in more detail in the relevant sections.

What is denture intolerance?

For some people, getting used to the design never occurs. When performing exercises, maintaining hygiene, constantly wearing a prosthesis, there is no improvement in the condition. It further rubs and interferes, does not allow to pronounce sounds normally, enjoy food, etc. The constant struggle with a foreign body exhausts a person.

Doctors consider this a psychological problem, and only a psychologist can eliminate it during a consultation. Some dentists try to customize the prosthesis to the needs of the patient, but this rarely works if there is intolerance.

The psychological side of the issue

It is necessary to properly and gradually prepare a person for the process of adaptation. It is important to explain that it is impossible to get used to the new design and all the difficulties associated with wearing it too quickly. The patient must tune in to a long process of adaptation. In a hurry and expecting a soon effect, he will inevitably be disappointed.

With the proper attitude, the patient will be able to perform the necessary exercises, do gymnastics and endure all the troubles of the first period of adaptation. Only with such an attitude is it possible to overcome temporary difficulties and make the process of addiction real and accessible.

Emotional readiness is the key to successful adaptation. If it is difficult to cope with this on your own, then you can turn to a psychologist who, in parallel with the dentist, will help you go all the way and cope with the problem.

Reducing pain symptoms

The first thing a patient encounters when wearing removable dentures is pain during chewing. From an unusual and increased load, the design puts pressure on the gums, which have already lost the habit of this. In the early days, doctors even allow painkillers to be taken, as the sensations may be too unbearable.

After a few days, the pain should decrease, although it will not disappear completely. For a long time, the contact of the mucous membrane and the foreign body will cause discomfort. To alleviate the condition, you should abandon too hard foods such as nuts, crackers, sweets. Food should be soft enough. And only as you get used to it, you can add a little more solid foods.

It is very important to monitor the condition of the mucosa, avoiding serious damage. After all, their presence will lead to rapid infection, which will adversely affect the health of the oral cavity as a whole. If the discomfort does not go away, then you should definitely consult a doctor.

Pain during adaptation can occur due to the following reasons:

Too sensitive mucous.
Improperly made prosthesis that does not fit the patient in size.

You can also reduce pain with massage:

Wash your hands and treat them with an antiseptic.
Stroke the gums in a circular motion, moving gradually from healthy areas to inflamed ones.
When stroking ceases to cause inconvenience, you can apply stronger pressure.
We cover the gum from both sides with the thumb and forefinger and perform vertical movements from the bottom up.

Such a massage can be performed every time discomfort begins and should be done for about four to five minutes. There are no restrictions on the number of procedures. You can apply at least every hour, when the calming effect of it ends.

Restoring comfortable chewing

When a prosthesis appears in the mouth, a person has to learn to chew and grind food again. This process requires adherence to rules that can simplify addiction. Get ready for the fact that the meal will last longer than usual, at least at first.

From the products you should choose soft, but in no case too hard, and non-viscous. The viscous consistency will shift the prosthesis and prevent it from being used normally. Dial a little food, it is better if it is finely chopped.

It should be remembered that artificial teeth are not native and a high load on them can damage the material. Even cermets will crack if you get carried away with nuts or other hard foods. Doctors also advise distributing the load evenly on both sides of the jaw.

The ideal solution would be apples that are finely chopped. They are quite hard, but not capable of damaging the structure or contributing to chafing. Thanks to the constant load, the chewing process becomes more familiar.

We get rid of increased and decreased salivation

Each person reacts differently to a foreign structure in the mouth. For some, it starts from it, as the body thinks that food has appeared in the mouth that should be digested. In others, on the contrary, dryness occurs, which causes severe discomfort.

Over time, both the first and second unpleasant symptom will pass. It takes about two weeks for the body to adapt. To help yourself, you can increase the amount of fluid in case of dryness. And if you are worried about excessive salivation, then it is enough to make a solution - give half a teaspoon of salt to a glass of water. This rinse is enough for 40-60 minutes. You can repeat it anytime.

How to return taste sensations?

Another problem associated with the presence of a prosthesis and the process of nutrition is the absence or distortion of taste sensations. About a third of patients feel similar troubles. In particular, the loss of taste worries those who have used cheaper, but at the same time bulky designs. They occupy most of the mouth and cover the mucous membrane where the taste buds are located.

To solve this problem you need:

Do not skip meals, eat as usual.
Try to feel the taste by holding the food in your mouth a little longer.
Although it is difficult, try to enjoy the foods you eat.

By giving yourself and your body the right amount of time, you can get used to eating with an artificial prosthesis and even begin to experience all the taste sensations again.

Normalization of diction

The absence of teeth does not allow a person to speak normally, he misses a lot of sounds and feels obvious discomfort in communication. After the installation of the prosthesis, this problem should be solved by itself. But in practice this does not happen. What to do?

Having established the desired design, the patient should first, as it were, learn to speak again. It takes time for the diction to become normal, and it is convenient for you to talk. Follow these guidelines:

Read aloud as much and as long as you can. At the same time, try to pronounce each sound clearly, distinctly, expressively. It could be poetry, classical literature, or even a newspaper article. The main thing is training.
Tongue Twisters. It is not necessary to try to pronounce them very quickly. In this case, it is important to repeatedly repeat the same and complex sounds one after another. It will be difficult at first, but the more you practice, the better it will get.
Complex definitions. Write down on a piece of paper the longest words that you know, and try to read them aloud, pronouncing each clearly and slowly. For example, constantly repeating "air crash", "defense", "parallelepiped" and other words of this kind, you will learn to master your language.
Another list is with encountered hissers. Words such as "protective", "crazy" and others in which "g", "sh", "u", "s" are often used contribute to excellent articulation training.

Spend at least half an hour on such exercises and in a couple of weeks you will be talking as if you did not experience any difficulties. And remember, the more you practice, the faster the adaptation period goes.

What to do if getting used to prostheses is delayed?

In case of non-compliance with the rules, lack of exercises and too frequent removal of the structure, adaptation will be much more complicated. This process is considered protracted if it takes longer than 2-3 weeks.

Long-term addiction can be normal only if a person lives for a long time completely without teeth or without most of them, as well as with atrophy of soft tissues. In addition, such patients are fitted with a prosthesis with fixation on the gums, and this makes it difficult to get used to.

If the design is attached to your own teeth on hooks, such as clasp dentures, then getting used to it will take no longer than a week. Also, Quadrotti's soft nylon prostheses have proven themselves well in terms of adaptation.

The duration of this period depends on the following factors:

Features of the structure of the jaw. Sometimes it happens that the patient has a non-standard shape and then the displacement of the prosthesis occurs much more often. And this interferes with habituation and its normal operation.
Increased sensitivity of soft tissues. With constant use, inflammation of the gums, rubbing and irritation of the mucous membrane will occur, which will also affect the psychological and physiological discomfort. Doctors recommend using additional gels or special pads are installed.

If the pain does not go away in a few days, the prosthesis rubs too much, or you cannot psychologically get used to the artificial structure, then it is better to seek help from a doctor. He will adjust the prosthesis to your features or help you cope with it on a psychological level.

And only in rare cases, complete addiction is impossible, when a person has intolerance to any materials or the structure as a whole. Then you should choose another way to restore the dentition.

Video: how to live fully with removable dentures?