DENTURES
Dentures are artificial elements destined to restore the anatomy of one or several teeth, while also recovering all dental functions such as aesthetics, voice use, chewing, facial support, etc.
WHAT ARE DENTURES?
Denturesare artificial elements designed to restore the anatomy of one or more teeth. They also restore the relationship between the jaws, as they bring back the vertical dimension and replace the teeth. They meet all the objectives that are necessary or fundamental for maximum patient satisfactionsuch as functionality (chewing while eating, voice use), support, stability, retention (the fixing of both fixed and removable dentures), health and aesthetics.
Tooth loss causes major problems that not only affect chewing but also leads to the appearance of spaces (diastemata) between other teeth, changes to the inclination of teeth adjacent to the lost one, the sagging of the antagonist (opposite) tooth (if it is a top tooth), or a tooth tending to grow (if it is a bottom on), meaning that the space left by the absent tooth is occupied or closed up.
OPTIONS FOR REPLACING TEETH
- Speed (few appointments and no waiting period)
- Recovers function.
- Cheap
DISADVANTAGES:
- Limited aesthetic (hooks)
- Requires an adaptation period
- Average life of 5 years
- Speed
- Recovers function
- Aesthetic recovery
DISADVANTAGES:
- Requires drilling of natural teeth.
- Restrictions when used with multiple lost teeth (a bridge cannot be built if there is no tooth behind the tooth gap)
- Prevents the loss of bone
- Long-lasting long-term solution (there are 25 year studies)
- Recovers aesthetics and function
DISADVANTAGES:
- Apparently more expensive, but this is not the case
- Requires a waiting period
REMOVABLE DENTURES
Patients can remove these ones from the mouth. They are often used temporarily or when patients do not have implants on which to fit fixed dentures.
FIXED DENTURES
These dentures are permanently joined to another tooth (which is carved). They can be for one tooth (crown) or for several (bridge) and are always fitted by the dentist using a tooth cementing technique, meaning that they cannot be removed by the patient.
- Teeth with fractures or wide decay which a composite seal or reconstruction would be very limited.
- As a last option to change the shape, position and/or color of a tooth.
- Recovers one or more teeth in a section sandwiched between pillars (carved teeth)-
- When an implant is not indicated (medical determinants, previously carved pillars, lack of unrecoverable bone, etc.)
DENTURE ON AN IMPLANT
Dental implants are an artificial substitute for the root of a tooth. By fitting one or several implants we can achieve the objective of fitting a denture on one or more of them to recover the loss of one or several teeth. They help to securely fix the new denture in place.
Nowadays there are as many different surgical techniques as there are types of dentures to fit on these implants. A dialogue between the dentist and the patient and a long series of diagnostic procedures is necessary to decide on the most suitable type of restoration for each patient, as there are many factors to be taken into account, such as: the number of teeth to be restored, the patient’s type of occlusion, a bone evaluation, medical history and the quality of the patient’s hygiene. Habits such as smoking are determining factors, along with financial considerations and many more factors that can only be analysed if the necessary time is dedicated to each patient. Therefore, before starting there is an essential phase known as “planning”.
- Crowns, bridges or fixed restorations on implants
- Fixed hybrid on implants
- Reversible hybrid on a micro-milled bar,
See the implants section for a detailed description of each option.
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