In case of complete tooth-loss, the desire for a normal life, including the ability to be able to eat normally again and to optically look normal, is very large. As long as you have healthy teeth, you do not even know how much broken teeth or even complete toothlessness can make everyday life a nightmare. What options are there to fix these problems?
SOLUTIONS WITH FIXED TEETH
Of course, many are looking for a fixed solution that can best restore the functionality of real teeth, but what is the best solution for patients who cannot or don’t want to get fixed teeth?
THE HISTORY OF DENTURES
There are different types of removable solutions, the oldest and cheapest solution are the classic removable full dentures. For a long time, before the age of implants, there was no alternative to those who lost their teeth they had to settle for a full denture. The disadvantages of this solution are well known: no firm hold, visually inadequate, functionally very limited, permanent sticking, take-ins take-outs all the time and then take the disturbing palate plate, which can cause not only extremely uncomfortable feelings but also actual sores on the palate or in the gum. The majority of patients who wear a full denture complain of extensive food disturbances, both in terms of consumption, as well as the perception of tastes and problems with self-esteem, because full dentures look very artificial. Just imagine for example panicking on a date of the fear that during romantic eating the prosthesis falls into the soup.
Thanks to the rapid development of dentistry, there are now solutions that can provide relief, so that these common problems can be almost completely eliminated, even with a removable solution, of which the bar-supported prosthesis, also called removable bridge offers by far the best solution.
WHY CANNOT SOMEONE GET A FIXED SOLUTION?
In the case of complete toothlessness implants can provide better solutions from every point of view than classical dentures. Implants are so-called artificial roots, also called pin teeth, which are made of titanium and have the function to replace natural tooth root. An implant usually consists of two parts, the implant screw and the implant head, also called the abutment. The implant screw becomes anchored in the patient’s bone (as well as a tooth root), and the head serves as a link between the screw (root) and the crown of the tooth or artificial teeth (replacing the natural tooth). As you can already guess, the implant is implanted in a surgical procedure. The implant screw is inserted into the jawbone of the patient. Thereafter, there is a healing, the so-called osseo-integration time. During this, the bone cells grow into the pores of the implant screw, so the screw is integrated by the body into the bone and thus gets such a strong hold that it can later withstand the enormous chewing force of humans. In principle, almost all dental implants can be obtained when there are no diseases that do not allow the operation, but there is a very common case where inserting dental implants is difficult, if the patient does not have the necessary bone mass for it, i.e. it lacks in height or width of bone and thus the implant cannot be fully placed being surrounded by bone. In such cases, bone can be surgically built up either by further surgery, by bone augmentation, or the bone loss is so extensive that even that is no longer possible. In these cases, it must be considered at which places there is still enough bone mass to be able to insert implants as even a lower amount of implants can give tremendous support for the artificial teeth, let them be part of a dental bridge or a denture. The surgeon always asks for a 3D CT scan to b able to determine that. The fewer implants can be used, the more limited the possibilities later are in the prosthetic restoration.
WHY IS BONE LOSS HAPPENING AND HOW DOES IT TAKE PLACE?
The human bone is very plastic and reacts. When teeth are lost, the bone loses the function of holding the tooth and begins to fade. If many years pass, then the bone can shrink back so much that the necessary substance is no longer available to insert implants. This process usually begins in the back area and widens towards the centre. This is so critical because for a fixed solution it is crucial to provide the posterior region with at least one implant on each side so that a bridge can be created over the entire length of the jaw. The surgeons can get relief with a so-called sinus lift, thus raising the maxillary sinus. The patient’s maxillary sinus is filled with bone substitute material to produce the necessary bone mass. After this procedure, the patient has to wait six to nine months to get the final dentures, because that is how long it takes to heal after a sinus lift or bone graft. During this time, at most a temporary denture can be worn. The disadvantages of the bone replacement are obvious, on the one hand it is a complex surgical procedure, a lengthy procedure because of the prolonged healing time and of course the cost of this procedure is also not insignificant. For a fixed dental prosthesis, at least two implants are necessary in the posterior area, i.e. in the area of the teeth, and in the case of insufficient bone, a sinus lift on both sides must be expected.
WHY OPT FOR THE BAR-SUPPORTED DENTURE?
The bar-supported denture is the optimal compromise solution when
a) In the rear area no sinus lift is possible or desirable
b) The patient wants to afford only 4 implants
c) The patient wants an optimal removable solution
d) The patient wants to get the final solution faster
The bar-supported prosthesis offers almost everything as a fixed bridge, but is removable.
What is a bar-supported removable denture exactly?
It is basically a removable bridge that attaches to 4 implants. The implants are located on both sides of each tooth position 2 (incisor) and 4 (premolars), so let the critical molar positions 5 and 6 are not involved. The implants are connected by a metal element, and the denture is fastened on that bar, allowing a very strong hold.
The advantages of the bar-supported denture at a glance:
– Only four implants necessary
– Can also be made at the back of bone loss
-Easy to clean
– Easy to repair
– Functionally almost like fixed teeth
– Very comfortable, no palate plate
– Aesthetically very high quality
– Costs about half of a stuck solution
HOW MUCH DOES A BAR-SUPPORTED DENTURE COST?
The preparation of this denture takes place in two phases, in the first treatment, the four implants are used, in the second, the prosthesis is created. The first stage costs 3220 € and includes the necessary 3D and 2D images, the 4 implants, as well as the obligatory medication package after the treatment. The second stage costs 2930 € and includes the necessary diagnostics, the implant heads, the metal connection bar and the bridge prosthesis.
Evergreen Dental is the specialist for fixed and removable solutions in Budapest, including, of course, the bridge prosthesis. Fear patients also have the opportunity to get the surgical treatment under general anaesthesia. Get in contact with us and let us advise you without obligation by our team of experts.