Prosthetics of the upper jaw with adentia, nuances. Upper jaw prosthetics

The issue of removing single teeth in the upper and lower jaws is solved differently. On the upper edentulous jaw, the conditions for fixing the prosthesis are more favorable than on the lower one. A relatively large area of ​​the prosthetic bed, combined with a pronounced palatine vault and preserved alveolar process, provide good fixation of a complete removable denture. This circumstance made it possible to expand the indications for the removal of single teeth in the upper jaw, since they are not so much a help as an obstacle in fixing the prosthesis, preventing the creation of a closing valve. Fixation of the prosthesis of the upper jaw on a single preserved tooth with the help of a clasp is not always reliable. At the same time, the abutment tooth quickly becomes mobile and has to be removed. It should be noted that such prostheses in the area of ​​natural single teeth often break, which also served as a reason for the removal of these teeth.

An exception to this rule was made for those patients who had a canine on one side of the upper jaw, and a well-defined alveolar tubercle on the other. The canine and tubercle created two points, providing stability to the prosthesis. However, indications for the removal of single teeth in the upper jaw cannot be considered only from the point of view of fixing the prosthesis. It is also necessary to take into account whether the patient has previously used prostheses or the latter will be made for him for the first time.

Saving at least one tooth in the presence of a well-defined alveolar process and alveolar tubercle allows to reduce the prosthetic basis and facilitates the patient's getting used to the prosthesis. From this point of view, in some patients, the preservation of a single standing tooth in the upper jaw is desirable.

The disappearance of the last pair of antagonists leads to the loss of a fixed bite height and a complex restructuring of the nervous regulation of the chewing muscles. The removal of the last tooth, even if it was devoid of an antagonist, also means the disappearance of the sensation of chewing on natural teeth. If the first tooth extraction can be considered as the first blow to the unity of the dentition, then the removal of the last tooth means the final completion of its decay, after which the jaws, both functionally and morphologically, acquire completely new qualities. That is why the indications for the removal and preservation of a single tooth must be strictly justified not only in terms of the possibilities of prosthetics, but also in terms of the impact on the physiology of the oral cavity.

Experience convinces us that in a number of cases, the preservation of single teeth in the upper jaw is impractical. However, there are arguments in favor of their retention. In some cases, the indications for conservation are absolute, in others relative. Absolute indications include poor conditions for fixing a complete removable denture in congenital clefts of the hard and soft palate, micrognathia, defects in the hard palate, acquired origin, scars of the transitional fold and prosthetic field.

Relative indications include the patient's uncertainty about the possibility of good fixation of a complete removable denture on the upper jaw and an increased gag reflex. Fear for the outcome of prosthetics gives the doctor the right to expand the indications for the preservation of these teeth. If the patient's uncertainty about the outcome of prosthetics with a complete removable prosthesis can often be overcome by suggestion, then the fight against an increased gag reflex does not end with the doctor's victory in all patients. Reduction of the prosthetic base allows avoiding this complication, but this is only possible with clasp fixation of the prosthesis. Of course, the patient should be explained that the period of use of such prostheses is short.

If you want to leave one or another single standing tooth, you should take into account its place in terms of prosthetics, that is, its functional value. Clinical experience shows that it is not advisable to preserve the central and lateral incisors, especially with significant atrophy of the alveolar processes and a flat palate. The prosthesis will act in this case as a lever. Its sagging due to its own gravity, as well as under the action of sticky food, will create an overturning moment, causing an overload of the periodontium of the abutment tooth.

Single-standing premolars of the upper jaw are not very convenient for clamp fixation, since they have a small crown height and a weakly pronounced equator. The most convenient for these purposes canines and molars.

The attitude to single teeth of the lower jaw is completely different. The conditions for fixing a complete removable denture in the lower jaw are mostly unfavorable. A small prosthetic bed, the presence of such a mobile organ as a tongue on the border of it, make the fixation of the lower complete removable denture a difficult problem. Therefore, any tooth with mobility of the second degree for some time can serve as an aid in strengthening the prosthesis.

But most single teeth need special preparation before prosthetics. As a rule, they have an elongated clinical crown and a correspondingly reduced root length. An increase in the external lever causes a functional overload of the tooth, which adversely affects its periodontium.

Patients with single standing teeth, as a rule, are elderly people. Their vascular system undergoes various changes that limit their functionality. Periodontal arteries are also no exception to this rule. Changes in blood vessels also affect the ability of the periodontal tooth to absorb chewing pressure.

Elongation of the extra-alveolar part of the tooth leads to the fact that its crown extends beyond the occlusal surface, interfering with the correct setting of the teeth in the future.

In order to eliminate the discrepancy between the extra-alveolar and intra-alveolar parts of the tooth and thereby reduce the consequences of functional overload of the tooth, it is necessary to shorten the clinical crown with or without preliminary depulpation of the tooth (according to relevant indications).

When teeth are missing on only one side of the jaw, this is officially called: a unilateral end defect of the dentition.

There are a lot of options for prosthetics in this case. The reason for diversity is that there is no single one that would suit everyone and everything. Let's figure out how such a defect can be filled. Four options are possible:

1. Dental implants

A good option - neighboring teeth are not involved in any way. And you won’t have to remove anything - the crowns will be non-removable. Minus one - if there is not enough bone, it will have to be added. Which will add cost and time.

2. Cantilever bridge

The fastest, most convenient and economical option for prosthetics of unilateral end defects - they quickly get used to it, it is simple - you do not need to remove anything and mess with implants. Ideal if there are no only chewing teeth and you really don’t want to put implants.

At least two extreme teeth will have to be processed. If they themselves require prosthetics with crowns, this option for restoring the end defect is optimal. If they are completely healthy, dental implantation will be more rational.

The disadvantage of a bridge is that it can only restore one missing tooth. If you add two teeth, then the abutment teeth will not last long due to the heavy load.

Some patients insist on adding two teeth (although this is very wrong). Then their chewing surface becomes incomplete - so that the teeth look natural from the outside, but do not overload the supporting ones.

3. Traditional removable prosthesis

A conventional removable denture can restore a unilateral defect in the dentition. But due to the presence of teeth on the other side, patients do not use them. Will try for a week or two. And put them literally on the shelf:

The main reason for the inconvenience is the large volume of the prosthesis. The improvement in chewing food will turn out to be small, but the inconvenience ... much more.

Prevention of end defects

If there is still at least one extreme tooth on the side with missing teeth, then it is necessary to save it if possible. Even if it's badly damaged. In order not to lead to the appearance of an end defect in the dentition. Which is not very easy to prosthetize without implants.

If the last tooth is badly damaged, it is possible to restore it in most cases. Don't grab the forceps right away. Try to save it first. If the damage is strong, reinforce it with a pin.

If there is inflammation on the roots of a tooth that has not yet been removed, then treat them and save them. And use in the future for prosthetics.

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:

1. Metal. As a rule, they are made of steel or gold.
2. Metal-ceramic.
3. Combined. In this case, the front side of the prosthesis can be made of plastic, and the back - of metal.
4. 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:

1. Single crown.
2. Bridge prosthesis.
3. 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.

1. 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.
2. 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.
3. 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.
4. Hypoallergenic. In this regard, nylon structures have good biocompatibility, which cannot be said about acrylic prostheses. They can cause local and general allergic reactions.
5. 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 provide 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:

1. 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.
2. Fixed constructions restore chewing function much better. To get an attractive smile, you should use conditionally removable dentures or install veneers.
3. 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.
4. 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.

Creation of highly esthetic removable dentures

Prosthetics of the upper jaw, when there are only two teeth left on it. Prosthetics of the lower jaw with metal ceramics and a clasp prosthesis on a micro-lock without using an arc under the tongue.

This note will focus on a clinical case from the practice of the chief physician of the Moscow dental center "Dial-Dent"

The work was carried out from March to May 2003. Upon completion of the work, an excellent aesthetic and functional result was obtained. In this case, it was dental prosthetics highly aesthetic clasp removable dentures on micro locks.

To the dentist S.V. Zukoru was approached by a middle-aged man with complaints about the absence of many teeth in his mouth and the inability to eat well, associated with poor chewing of food. Also, he didn't like the look of his front teeth, which many years ago were installed metal crowns. Since this patient is politically active, his wish was for the teeth to look natural and not stand out in the mouth.

before prosthetics after prosthetics

The photo on the left shows that the previously performed prosthetics are completely unaesthetic. The crowns are worn out in several places, food gets under them. Progresses under some crowns caries.

The patient underwent all the necessary diagnostic procedures, such as:
1., including an orthopantomogram to assess the state of the bone tissue, revealing disorders hidden from the eyes.
2. Inspection and consultation. In this case, consultations of an orthopedic dentist (prosthetist), a periodontist ( gum treatment), dentist-surgeon, dentist-therapist ( dental treatment). The result of the work of the miniconcilium was the development of a complete treatment plan and the coordination of the actions of various specialists.
3. Filling in a periodontal card to assess the state of the supporting apparatus of the teeth.
4. Making diagnostic plaster models for their subsequent analysis in a dental laboratory and for deciding on the best type of prosthetics in this case.
5. Photographing the initial situation.

All data obtained during the survey were entered into. A detailed treatment plan is also entered into the medical record. The patient was carefully acquainted with each item of the treatment plan. He was explained the essence of each of the medical procedures, was told about possible complications. Full information was also given about alternative methods of treatment in his case. The issues of the cost of work, guarantees and the expected service life of such structures were discussed in full. The patient was shown photographs of the work performed by the specialists of our clinic in similar cases. At the consultation stage, an estimate for treatment is always drawn up. A computer printout of the estimate is given to the patient. Also, a contract for the provision of dental services was concluded with the patient. After the patient accepted the proposed treatment plan, we began work.

Treatment plan (abbreviated)

1. Removal of old non-functional crowns and bridges.
2. Manufacturing of temporary plastic dentures. The treatment was planned in such a way that each time, at the end of the treatment procedures, the patient should wear temporary bridges. Those. The patient never walked a day without temporary crowns. This is a very important point. Temporary crowns are necessary because they protect the shaved teeth and also the patient leaves the dentist looking presentable.
3. Treatment of periodontitis. Extraction of teeth that cannot be saved.
4. Permanent prosthetics.

Permanent prosthetics cermet and clasp prosthesis

After the removal of all non-viable teeth, only two teeth (two canines) remained in the upper jaw. The so-called terminal defect has turned out on the lower jaw - several teeth are missing in a row in the lateral part of the jaw, and the last tooth is missing. The absence of the last tooth makes it impossible to replace this area with fixed bridges. In this case, the patient was offered two options for prosthetics:

Prosthetics with dental implants. This option involved prosthetics with fixed dentures that looked, functioned in the mouth and felt like their natural teeth to the patient. For reasons related to the duration of treatment, and the implementation of the first option would require several months, the patient rejected this plan.

Production of ceramic-metal crowns for teeth that have been preserved, and production of clasp removable dentures on micro-locks attached to crowns . We could implement this plan in two or three weeks. In addition, it required much less financial investment compared to the first plan, and was not associated with any surgical interventions. The patient consciously opted for the second plan of prosthetics.

Progress:
Metal-ceramic crowns restored the remaining two teeth of the upper jaw

Lower jaw

The photo on the left shows the lock to which they will be attached removable teeth. This lock provides a very powerful fixation of the removable part of the prosthesis. The lock is designed in such a way that it is possible to remove the teeth only with the use of a key. Therefore, the patient may not be afraid that the prosthesis will come off the teeth at the most inopportune moment.

View of the removable part of the prosthesis on the model

Final view after prosthetics

The micro-locks used in this case provide a very reliable fixation of the prosthesis, even to the two remaining teeth. These locks have the ability to be activated. Those. the doctor can adjust the degree of fixation of the lock, choosing it individually for each patient. Also, after some time after using the prosthesis, there is a weakening of the fixation. By tightening the locks, the doctor can strengthen the fixation and make it what it was.

Conclusion:Owning the most modern technologies, using the latest achievements of world dentistry, the doctors of the Dial-Dent Moscow Family Dental Center can restore their lost health and beauty to their patients even in such difficult cases when there are only two teeth left in the jaw.

The work was carried out by the dental team:
1. Planning and implementation of prosthetics
2. Surgical treatment ( tooth extraction), treatment of remaining teeth and treatment of periodontitis. Kolesnikova N.A. dentist-periodontist.
3. Manufacturing metal-ceramic dentures 4. Manufacturing removable dentures with micro-locks
5. Assistant dentists: Smirnova E.P., Yakovleva T.M.

The cost of this and similar turnkey works is about 220,000 rubles.
1. Diagnostic measures
2. Dental treatment
3. Removing some roots
5. Periodontal treatment
6. Prosthetics

Work comes with a standard 1 year warranty. The average period of trouble-free service of the structure: the upper jaw - 5-6 years or more, the lower jaw - 6-10 years or more.

Hello. 3 days ago they put arsenic. Yesterday, the temporary filling was removed and after the inspection, the temporary filling was put back in. Now there is a taste of blood in the mouth from this tooth. What to do?

Good afternoon, Irina! Judging by the situation you described, if you have two teeth, you can only be offered a partial removable denture. If aesthetics are important, then you need to go for the extraction of your two teeth in order to then install a complete removable denture. The fixation of a complete removable denture on the lower jaw is poor, but it will definitely be more aesthetically pleasing. The fixation of the prosthesis will improve if you install implants and install a prosthesis or crowns on them.

25.01.2019
asks Golushko Irina

Hello. There are 6 teeth on the upper jaw, respectively 3,2,1-1,2,3. Currently I wear a nylon prosthesis. There is a photopolymer filling on the 3rd under the hook (I change it for the second time due to caries). Nearby, the deuce requires repair with pinning, an inflammatory process is underway. Periodontal disease is present without much mobility, as well as cervical caries. I would like to know if it is possible to install an acetal prosthesis without installing metal-ceramics on intact teeth, so that in the future, if necessary, they can be removed and plastic ones added to the prosthesis? Paradanthosis and 60 years old do not inspire optimism.

Good afternoon, Irina! An acetal prosthesis, like a nylon prosthesis, does not require metal-ceramic coating of supporting teeth. In general, the design of an acetal prosthesis is considered more reliable and can be repaired, but when you deliver the teeth, you do not get a completely new design. The frame of the acetal prosthesis remains the same and the new hooks, even if they can be inserted, will not be connected to the main frame. Accordingly, the repair of the prosthesis may not be 100% effective. This does not mean that this type of prosthetics is not suitable for you, it just does not work out to protect yourself from alteration in case of tooth extraction. In this situation, it is the acetal prosthesis that will suit you best.

06.12.2018
asks Irina Kuzina
answers Bedrik Irina Alekseevna

on the upper jaw on the right side of the canine. on the left two teeth are crooked and everything is how to be removed with a removable prosthesis how it will look. thanks

Good afternoon, Irina! From the point of view of aesthetics, a complete removable denture will look better. The fixation of such a prosthesis will be much better than a partial prosthesis supported by three teeth. Neither the lower jaw, of course, need to fight for each tooth, for adequate fixation of the prosthesis.

05.12.2018
asks Yaroslav
answers Bedrik Irina Alekseevna

Hello! Is it possible to fix a removable prosthesis of the lower chewing teeth on healthy teeth that are not covered with crowns. Thank you

Good afternoon, Yaroslav! The classic partial denture does not require crowns on the abutment teeth. Crowns are required only for clasp prostheses with locks.

05.11.2018
asks Sinitsa Oleg Petrovich
answers Bedrik Irina Alekseevna

Hello! On the lower jaw, on the right side, three teeth remained, next to each other, one incisor and two fangs. Is it possible to install a fixed prosthesis, or what options for prosthetics are there. Thanks for your reply Regards Oleg

Good afternoon, Oleg Petrovich!

Fixed prosthetics in your case is possible only with the use of implants. Otherwise, an exclusively partial removable denture can be offered.

01.10.2018
asks Shkel Evgenia Viktorovna
answers Bedrik Irina Alekseevna

Question: I have a removable prosthesis in the upper jaw, it rests on one front tooth, now the tooth remains. What do you advise me? The prosthesis will not hold.

Good afternoon, Evgenia Viktorovna! If you remove a tooth in the upper jaw, the prosthesis will hold up perfectly. The fixation area of ​​the upper prosthesis is large, in comparison with the lower jaw, and the design will definitely not fall out of the oral cavity. In the lower jaw, the number of teeth plays a decisive role.

22.08.2018
asks Natalia
answers Bedrik Irina Alekseevna

They removed the bridge on the lower jaw on the left. There was a whole very extreme tooth, but it sways. There were 3 teeth under the bridge. All have been removed. The doctor suggested removing the last tooth and putting in a removable prosthesis, but for some reason he says that the upper bridge on the left should also be removed, why?

Good day, Natalia! It is likely that the maxillary bridge needs to be replaced for a number of reasons. And one of the reasons is the creation of the correct bite, taking into account the lower teeth. But the most correct thing is to ask the doctor what is the urgent need to replace the bridge on the upper jaw.

16.08.2018
asks Natalia
answers Bedrik Irina Alekseevna

Which prosthesis is better clasp or nylon? The upper jaw has 4 teeth.

Good day, Natalia! It all depends on the quality of the bone tissue and the teeth themselves. In your case, I would suggest an acetal prosthesis. The clasp prosthesis seems to me to be a heavier structure for your teeth.

31.07.2018
asks Elena
answers Bedrik Irina Alekseevna

They put a removable prosthesis on my upper jaw, my appearance changed for the worse. It was as if a nut was put under my upper lip. Is it possible to remove the thickness of the base and teeth from the front side (under the lip)?

good day, Elena! The thickness of the base can be removed and even the teeth can be moved to another position. But, only you must understand that this is a complete alteration of the prosthesis, taking into account aesthetic requirements and facial features.

13.02.2018
asks Porazhik Irina Borisovna
answers Bedrik Irina Alekseevna

Answer please!!! Should the bracket of the clasp prosthesis be adjacent to the upper palate? It does not bother me and they say that this is the way it should be. I doubt. And if not, what should be the gap? Thank you.

Good afternoon, Irina Borisovna!
All elements of the clasp prosthesis should be adjacent to the sky, but do not press on it. There should be no gap between the prosthesis and the oral mucosa.

16.11.2017
asks Vitaly
Irina Bedrik answers

Good afternoon. I need to remove 10 teeth 6 lower and 5 upper anterior, one anterior is already gone, and put dentures

Good afternoon, Vitaly! If you need to remove teeth, then you need to perform this intervention with a qualified specialist and immediately set him the task of preparing for prosthetics. It is necessary not only to remove the teeth, but also to smooth out all sharp corners and edges. For quick healing, wounds need to be sutured. Such preparation will make it relatively easy to get used to the future prosthesis.

13.11.2017
asks Alexander
Irina Bedrik answers

I don't have two upper chewing teeth on the top. What prosthesis should I put?

Good afternoon Alexander!
It is necessary to put implants or a partial removable denture. There is no option for fixed structures, otherwise you will lose the abutment extreme teeth.

08.11.2017
asks Tetyana
Irina Bedrik answers

Good day! The child should wear the plate on the lower slot (expansion) and may put it on the upper one. Ale went to Laura and it turned out that there might be adenoid

Good afternoon, Tetyana!
The ringing of the upper fissure is often associated with adenoids. It is recommended to treat the problem with adenoids first, and then take up orthodontics. In the past, you will be the mother of relapse and do not indulge in the result of the lure.

08.11.2017
asks Maxim
Irina Bedrik answers

Is it possible to put a clasp prosthesis on attachments for 4 teeth, that is, for 34 .33 .44 .43, and do not touch the 4 central ones at the request of the patient?

Good afternoon, Maxim!
The decision is made not only on the basis of the patient's requests, but the doctor is guided by clinical necessity. Attachments (locks) have a very bad effect on the root of the tooth, so the length of the roots of the teeth, their integrity, the level of bone tissue, etc. are important. I think that if aesthetics is important to you, then you will have to sacrifice the central teeth. Otherwise, it may be advisable to make a clasp prosthesis on clasps?

13.10.2017
asks Nikita Doroshenko
Irina Bedrik answers

Please let me know if there is anything I can do about my situation. My grandmother (80 years old) lost her last tooth in her upper jaw. There are no teeth left. what can you think of? +diabetes mellitus, surgery is not possible.

Good afternoon, Nikita!
In the case of your grandmother, you need to make two removable dentures. This is the only option if surgery is contraindicated. Contact an experienced prosthetist, because the first prostheses at this age, you need to try very hard.

10.10.2017
asks Natasha
Irina Bedrik answers

we wear a plate on the lower jaw and for a year it has not expanded. What to do. can wear braces

Good day, Natalia!
The lower jaw is dependent on the upper jaw, and if the expansion cannot be obtained, then the problem may be in the narrowed upper jaw. I think you need to contact a competent specialist, he will tell you the solution. You may have to install braces, it all depends on your age and the clinical situation in the oral cavity.

10.10.2017
asks Klepcha Elena Aleksandrovna
Irina Bedrik answers

in the bottom row there are 4 teeth 3-4 and 3-4 which ones you advise to make prostheses

the entire lower jaw is covered with crowns, the roots of 1 and 2 on the left have broken, these teeth are loose. granulomas on other teeth, but the teeth do not disturb and do not stagger. whether it is necessary to completely remove all the remaining teeth below and make a removable prosthesis, or can only remove 2 loose teeth and make a small prosthesis. And which removable prosthesis is now considered better than nylon or hard plastic.

Good afternoon, Elena Alexandrovna!
Any removable dentures on the lower jaw are poorly fixed. Therefore, it is necessary to strive to ensure that as many teeth as possible are left to fix prosthetic work. Those teeth that are highly mobile will have to be removed, but teeth with granulomas can still be saved. We recommend considering the option of a classic clasp prosthesis with a metal frame. If aesthetics are important, then an acetal prosthesis is an option.

09.10.2017
asks Kulik V.P.
Irina Bedrik answers

There are no teeth on the lower jaw, except for 2 nearby under a plastic crown (lateral incisor and canine). What is the best prosthesis for the lower jaw?

Good afternoon
Most likely, you need to put a partial removable plastic prosthesis. Anything more expensive doesn't make sense.

09.10.2017
asks Eva
Irina Bedrik answers

hello! I don’t know what to do .... I remove the upper teeth under a removable prosthesis, there remains one canine on a pin with metal ceramics and my farthest one on the opposite half. And below are seven of my teeth from canine to canine and one nearby)))! in one clinic they advise to remove the entire top and put acrylic prostheses and a nylon partial prosthesis on the lower jaw. in another clinic, they advise to keep the two upper ones and make a nylon prosthesis, sharpen all seven healthy teeth on the lower jaw and put a clasp prosthesis on micro-locks., as well as bite I have a deep one, but it’s a pity for me to sharpen the remaining teeth. How to be? (((((

Good afternoon, Eva! I prefer the first option. Removing all the teeth in the upper jaw will allow the upper prosthesis to be well fixed, and the preservation of the teeth in the lower jaw is a definite plus. It is pointless to insist on some option, you need to look at the situation in the oral cavity.

02.10.2017
asks Bogunova Nina Petrovna
Irina Bedrik answers

Is it possible to replace teeth in a removable prosthesis.

Good afternoon, Nina Petrovna! It is possible to replace 1-2 teeth in the prosthesis. If you want to replace all your teeth, it's easier to completely redo the denture.

02.10.2017
asks Lyudmila
Irina Bedrik answers

see the entire chewing row to put more prostheses

Good afternoon!
Better than anything else, a plastic prosthesis, and you can easily rebase it at any time.

24.09.2017
asks Novikova Elena Anatolyevna
Irina Bedrik answers

Hello, tell me, 4 molars are missing on the lower left jaw, they recommend making a removable prosthesis, is it worth it or not, I don’t understand how it will hold, it will jump, what do you advise

Good afternoon, Elena Anatolyevna!
If you are not sure that you need a prosthesis and you are doing just fine without it, then there is no need to change anything. In this case, the prosthesis will lie on the shelf and you will not want to wear it.
But seriously, of course, you need to restore lost teeth. The prosthesis will be fixed behind the last teeth with hooks. But in order to get used to the new design in the oral cavity, you need to make an effort on yourself. Work on yourself must be colossal!!!

20.09.2017
asks Vasilyuk Natalia
Irina Bedrik answers

I have a clasp prosthesis on my lower jaw. Now the front tooth fell out, (I don’t know the reason) it began to stagger, and today I was brushing my teeth and suddenly the tooth fell out. Tell me what to do.

Good day, Natalia!
It is not entirely clear which tooth fell out (his own or from a prosthesis). In any case, your path lies to the prosthetist. A tooth from a prosthesis can be put back by repairing the prosthesis.

13.09.2017
asks Sokolov Evgeny Vladimirovich
Irina Bedrik answers

Hello! Please explain what can be done in my situation: Parodontosis. There are 6 front teeth on top and 8 front teeth on the bottom. The remaining teeth are not disturbing yet and in good condition. Prosthetics? Removable jaws?

Good afternoon, Evgeny Vladimirovich!
In your case, you need competent prosthetics, the purpose of which is the longest possible functioning of the remaining teeth. Most likely, we will talk about partial removable dentures based on the remaining teeth.

09.09.2017
asks Zoya Yurievna
Irina Bedrik answers

Please, tell me the cost of a removable plastic prosthesis for the upper jaw, all the teeth at the top have been removed, a pensioner.

Good afternoon, Zoya Petrovna!
Complete removable prosthesis for the upper jaw 5500-6500 hryvnia, depending on the set of teeth. Only imported materials are used.

06.09.2017
asks Melnikova Olga Alexandrovna
Irina Bedrik answers

Good afternoon I had an upper removable denture made. but the farthest part of it departs a little from the sky. food particles get in there. Do I need to contact a technician? who made the prosthesis. so that he builds it up in this place?

Good afternoon, Olga Alexandrovna! The prosthesis needs to be additionally rebased. It is necessary to achieve a complete fit of the prosthesis to the mucous membrane, then it will be as stable as possible and food will not get in.

21.08.2017
Julia asks
Irina Bedrik answers

There are no teeth at all on the upper jaw. Can a soft jaw be placed?

Good afternoon Julia! There is no special meaning in a soft jaw. You need a well-adapted plastic prosthesis made of quality material.

01.08.2017
asks Sergey
Irina Bedrik answers

Tell me, is it possible for you to relocate a clasp prosthesis (3 lower 47,46,45) in the oral cavity? If yes, what is the time frame and cost?

Good day, Sergey! We are engaged in relining prostheses that were made in our clinic.

25.07.2017
asks Eveniya
Irina Bedrik answers

Do the neighboring ones need to be turned under the crown? or leave alive.

Good afternoon Evgenia!
In your case, you need a nylon or acetal prosthesis. It seems to me that an acetal prosthesis is still a more preferable option. Neighboring teeth in any case do not need to be covered with crowns.

25.07.2017
asks Evgeny
Irina Bedrik answers

Hello! All teeth in the upper jaw. I have 5 teeth left in the lower jaw. On the right side 1, 2 and on the left 1, 2, 3. The rest were removed due to poor-quality prosthetics. What can be done? Which nylon prosthesis is suitable. Like a square? Implants and clasp are not considered.

Good afternoon, Evgenia! In your case, it is worth considering the option of an acetal prosthesis.

09.06.2017
asks Valentine
Irina Bedrik answers

Prosthetics with a complete removable denture with a high gag reflex

Good afternoon Valentine! In patients with an increased gag reflex, of course, there are certain difficulties in prosthetics. But there is experience in working with such patients and you can contact our clinic.

16.05.2017
asks Vladimir
Irina Bedrik answers

Hello! The situation is this - they removed 4,5,6,8 from the top left and 6,7 from the bottom left to remove, please tell me what is better to put and from what material (if not implants)? Thank you!

Good afternoon, Vladimir! If not implants, then most likely we will talk about removable dentures. Recommending something specific without seeing the situation in the oral cavity would be the wrong decision. Therefore, consult a dentist and find out the best solution specifically for your situation.

12.05.2017
asks Asylzhan Utemisov-Yessenov

Hello. And what do we need to do for the manufacture of orthodontic equipment? Should I send CT scans? Look here please. This is a CT scan.

24.04.2017
asks Alena Markovskaya
Irina Bedrik answers

removable prosthesis for epilepsy

Good afternoon, Alena! No, for epilepsy, fixed prosthetics should be considered.

03.04.2017
asks Tamara
Irina Bedrik answers

Hello, the doctor left 7.8 on the upper jaw on the left, the rest was removed.

Good afternoon, Tamara! We definitely cannot advise the removal of teeth in absentia, but nevertheless, the fixation of a complete removable denture will be better than a partial one in the upper jaw. Discuss with the prosthetist the quality of fixation of the prostheses in both cases, taking into account your clinical situation.

16.03.2017
asks Elena
Irina Bedrik answers

Good afternoon There are two canines left on the upper jaw, they are rather weak (periodontal disease), but the prosthetists have not yet suggested removal. An option is offered: metal-ceramic crowns for fangs and a removable acrylic prosthesis on hooks. And solder a metal mesh into the structure from the side of the sky between the teeth to relieve the load on the teeth. In the future, it is promised that if one of the teeth is removed, solder the missing one and use the prosthesis in the future. Will the prosthesis then stay on one tooth? How feasible and effective is this option? Please advise. Thank you.

good day, Elena! It is necessary to realistically assess the need for these teeth in the oral cavity. If they are currently mobile, then there is no point in further resting the prosthesis on them. And even more so, it makes no sense to leave one tooth as a support for the prosthesis, a very dubious pleasure. It is worth considering the fact that the fixation of a complete removable denture with an edentulous jaw is much better than with 1-2 teeth in the jaw.

09.03.2017
asks Tatiana Boyko
Irina Bedrik answers

Good afternoon. For a 9.5-year-old child, the upper teeth do not grow evenly, I heard that it is possible to put a social plate ... Is there such a possibility at the moment and how much does it cost?

28.11.2016
asks Unknown
Irina Bedrik answers

Below, on the lower jaw, there are four teeth under fillings (probably need to be covered with metal-ceramic crowns) and two teeth next to them under metal-ceramic crowns, there are no more teeth. Tell me which clasp prostheses are better to put (metal alloy, nylon or acrylic).

11.03.2016
Elena asks
answers Bedrik Irina Alekseevna

HELLO! IN MY CASE ON THE LOWER JAW THERE ARE 4 TEETH WHERE THE FANGS ON EACH SIDE ARE 2 TEETH. LOOSE GUMS, PARODONTOSIS. WHAT OPTIONS DO I HAVE. I OFFER FOR 4 FRONT TEETH A BRIDGE, AND THE REMAINING 4 IN PLASTIC CROWNS. PRICE IS SUITABLE. BUT EVERYTHING IS STILL CONFUSING. DO I NEED TO TRY SOMETHING ELSE IN MY CASE AND WHAT. DIABETES. IF THERE IS A POSSIBILITY, HELP TO UNDERSTAND. THANK YOU.

good day, Elena!
Plastic crowns in your case are not the best solution. Plastic crowns have a bad effect on the gums, and in most cases are used as temporary ones. It is necessary to assess the condition of the teeth and use the design in order to preserve your teeth in the lower jaw as much as possible. I can’t advise the design, because I don’t see the real situation in the oral cavity.

09.03.2016
asks Nikolai Yuryevich
answers Bedrik Irina Alekseevna

Good afternoon. I have lost two front teeth and side chewing. How best to retaliate. It is possible in my case to make a removable plastic prosthesis. And still there are problems with being.

Good afternoon, Nikolai Yuryevich!
If there are problems with the joint, it means there are problems of an occlusal nature. First of all, it is necessary to solve problems with occlusion and then fix the result in permanent prosthetic work. For the stability of the occlusion, it is important to maintain the frontal guide, that is, the anterior teeth. Dental implantation followed by fixed prosthetics can be considered the ideal method of restoration. The second alternative option can be considered classic clasp prosthetics. The most unfavorable for the stability of the result can be considered a lamellar prosthesis made of plastic.

05.02.2016
asks Mila
answers Bedrik Irina Alekseevna

Good afternoon I have such a problem. I have removable dentures at the bottom 4 medium teeth are artificial. On both sides, the prosthesis is fixed to the teeth. On the left side, the tooth began to stagger and the prosthesis rests on it and there are no further teeth. 1) You can somehow strengthen the loose tooth or remake the prosthesis. And how much will it cost me for a pensioner who is not working. And the prosthesis weakened and began to subside. 2) Can the prosthesis be fixed somehow?

Good afternoon, Mila! In your case, you need to take an x-ray and determine if the loose tooth is treated or not. If the tooth needs to be removed, it must be held and then the prosthesis repaired. A missing tooth can be placed in a conventional plastic prosthesis and the prosthesis can be relined.

Http://website/ru/articles/alergicheskiy-kontaktniy-stomatit . Usually, an allergy to dental materials can be manifested by dryness of the oral mucosa, as well as increased salivation. Links