The implant is a dental prosthesis that can replace all those we have seen previously. Whatever your case, it will make up for a missing tooth. However, it is not always used, mainly because of its cost, but also sometimes for morphological reasons because your jaw must be thick enough.
The Complete Removable Dental Prosthesis
The complete removable prosthesis is recommended if you no longer have any teeth. Commonly known as dentures, it will replace your natural dentition, and can be removed from your mouth for daily maintenance, or before sleeping. This type of prosthesis is generally made from acrylic resin or porcelain (although it is rather reserved for older models). Your dentures will imitate your natural teeth (for a more aesthetic result), but also your gums (using pink acrylic).
A complete removable dental protinhesis will also be carried out by a specialist (in this case, either a prosthodontist or a denturologist) from the measurements and impressions taken by your dentist. A phenomenon of capillarity will fix the upper prosthesis, and the denture replacing your lower jaw, generally less stable), using a “dental glue.” Your dentist can also choose to place two implants and a bar so that your dentures are better fixed.
- The main advantage of this solution is that it is much cheaper (if you do not place implants) and that the intervention is relatively quick. You will find your chewing function more easily, without having to go through a long healing phase as for the installation of a fixed dental prosthesis
- However, it will be much more difficult for the patient to get used to his new dentures, and having to remove it after each meal to clean it can be a big drawback for many people.
The Partial Removable Prosthesis
Unlike the full denture, the partial replace only one or more teeth. It is made from plastic (for teeth and gum) and metal hooks (stellites) that will rest on your gums and your remaining teeth to hold it in place. It is a more stable alternative to a full denture since it will partly rest on your dentition.
Cheaper than a fixed prosthesis, the partial removable prosthesis integrates perfectly with your existing teeth thanks to the hooks and can support new false teeth in the event of a loss. However, it has the disadvantage of having to be removed after each meal for its maintenance and is less aesthetic than a fixed prosthesis because it will not always be possible to hide the metal hooks.
How Can We Make Sure They Are Well Laid?
The installation of your dental prosthesis will depend on the type of device you have chosen.
Installation Of a Removable Prosthesis
The procedure for a partial appliance will be relatively simple. If it is a partial prosthesis composed of stellite, your dentist will place your prosthesis by ensuring that the metal hooks are fixed on the abutment teeth. It will only remain to adjust it once posed so that it adapts well to your jaw. For dentures, it will first be put in the mouth. Your dentist will then check that it fits properly and make the necessary adjustments. The process will generally be longer than for a partial denture since you will have to consult it several times before wearing your dentures is comfortable, and to check that all is well.
The Installation of a Fixed Prosthesis
The installation of a fixed prosthesis is longer and more complex. Your dentist will start by placing false stumps (or inlay cores) sealed at your root. It is from this first support that the bridge or crown will be fixed. It will then be necessary to verify that the occlusion process has succeeded (that is to say that your upper and lower jaws are well aligned) so that you find comfort in chewing. Otherwise, he will have to file your prosthesis before sealing it with dental cement.
If you have opted for the implant, you will have to operate in several stages. Your dental surgeon will first open your jaw to place the implant, then wait for the bone to colonize the implant (which can last several weeks). It is osseointegration, after which he will place the screw, will take an impression of your tooth before placing the final prosthesis.
The procedure is still different for the onlay, which consists, as we have seen, in cutting the tooth to be replaced, then taking its impression which will make it possible to manufacture the prosthesis. The latter will then be glued using a dental dam to isolate it from the rest of your teeth.