Perfectly personalized denture – Flexible implementation process – With the latest tools

Dentists: Dr. Zoltán Óvári; Dr. Péter Kiss; Dr. Mónika Ecsegi; Dr. Vivien Farkas; Dr. Seyedemami Nazgol; Dr. Tímea Dorka

What is a denture, and what types
are distinguished?

Removable dentures, also known as dentures or prosthetics, offer a solution for replacing lost teeth. In cases of a certain number and location of missing teeth, it is no longer feasible to create a fixed dental prosthesis (bridge). In such cases, removable prosthetics come to the forefront.

Depending on whether there are still natural teeth in the mouth, we distinguish partial dentures, full dentures, and hybrid prosthetics supported on implants (artificial tooth roots) replacing tooth roots.

If there are remaining natural teeth, they should be utilized, if possible, to anchor the prosthesis, making it more comfortable for the patient to wear and allowing for greater chewing force.

With a well-made and customized prosthesis, the patient can lead a full and comfortable life without worrying about the prosthesis falling out of the mouth. The denture only needs to be removed for cleaning.

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What are the advantages of dentures?

Aesthetically, dentures are important for supporting soft tissues (lips, face) and, to some extent, replacing the missing bone structure/gums with the help of a prosthetic gum. This is necessary because the thickness of the jawbone decreases with the loss of teeth, causing it to “collapse.” This can result in the sagging of the face, and in the case of a fixed dental prosthesis, the gum’s recession and the formation of gaps under the bridge where teeth are missing.

In terms of functionality, the primary advantage is that the patient regains chewing ability, which is fundamental to nutrition and digestion. This helps prevent gastrointestinal diseases. It also eliminates speech disorders caused by tooth loss and aids in speech formation.

Modern denture base materials are entirely natural-looking, tasteless, and easy to clean. Based on previous facial photos, the pattern and color of the natural teeth can be considered in the fabrication of prosthesis teeth to closely resemble the original teeth.

Types of Prosthetics

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Partial denture or prosthesis

If there are natural teeth in the mouth, the prosthesis is called a partial denture. Partial dentures have a metal frame that reinforces the denture. The prosthesis is somehow supported on the remaining teeth. This connection can be ensured by metal clasps, hidden anchors in the prosthesis (telescopic crowns), or concealed/invisible fastening elements.

Full denture or prosthesis

If complete tooth loss is present, a full removable denture is fabricated. In this case, the denture secures to the edentulous jawbone and the covering gums, fitting perfectly due to its design. Stability can be increased, if necessary, with denture adhesive.

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Hybrid prosthetics

Dental replacements supported by implants (artificial tooth roots) are called hybrid prosthetics. In such cases, the treatment begins with the placement of implants. Implants are often not immediately loaded with chewing force after placement; during the healing period – 3-6 months – a temporary dental prosthesis is created. Following the ossification, the final dental prosthesis can be securely attached to the implants.

What is the treatment procedure, what tools, what
techniques are used?

Step 1.

In the first step, we always conduct an assessment where we discuss the patient’s ideas and inform them about the expected possibilities based on the initial situation. Photos (including previous pictures showing the patient’s teeth), X-rays, and impressions of the current starting point may be necessary for the precise treatment plan.

Step 2.

We review the plan with the patient, and in subsequent sessions, we prepare the remaining teeth, take impressions, and determine the position of the lower and upper jaws relative to each other. Of course, any step that may involve discomfort is performed under anesthesia. Throughout the entire process, there is continuous collaboration with our in-house dental laboratory.

Step 3.

As we approach the end of the process, it may be necessary to try the dental prosthesis, which already shows an almost final shape but is still adjustable, several times to perform any possible refinements or corrections for the perfect end result.

Step 4.

During the handover of the dental prosthesis, we demonstrate and practice removing and placing the prosthesis in the patient’s mouth, and we discuss cleaning options. After this, we schedule follow-up appointments to accompany the adaptation process and make it as smooth as possible.

Step 5.

Subsequently, we await our patients for annual, and in certain cases, semi-annual check-ups. During these appointments, adjustments to the dentures may be necessary due to changes in their foundation (so-called relining). Our dental laboratory can usually complete this process quickly.

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