Implantation of upper teeth: features of the operation, technology


Price

A complete removable denture is an orthopedic design that simulates the upper or lower dentition in the absence of all teeth.
Its base imitates gums and ensures fixation of the device. Artificial crowns are soldered into the base. There are removable complete dentures and conditionally removable ones. The patient can independently remove the first ones at any time. Conditionally removable structures are fixed on implants and can only be removed by a doctor. The method of prosthetics is selected taking into account the nuances of the clinical case and the patient’s preferences.

Indications and contraindications

Indications:

  • replacing one or more missing units;
  • various row defects for the front, side or end sections;
  • the presence of multiple defects in a row;
  • pathological abrasion, malocclusion;
  • periodontitis, accompanied by severe loosening of teeth.

Contraindications:

  • inflammatory processes in the oral cavity;
  • diabetes;
  • oncology;
  • no support units;
  • mental disorders;
  • diseases of the respiratory and cardiovascular systems during exacerbation;
  • individual intolerance to one of the components of the structure, for example, metal.

Types of removable dentures in complete absence of teeth

Plate acrylic

Classic acrylic insert jaws are made of hard plastic. Fixation is ensured by a wide lamellar base. When biting, air comes out from under the base and a suction effect occurs. Pros: affordable price, maintainability, aesthetics. The disadvantages include deterioration of fixation as the contours of the prosthetic bed change with the need for relining, large sizes, and the need to adapt to the device. Plastic contains monomers that can cause allergies. Artificial teeth absorb dyes and odors, and after 2-3 years they lose their aesthetic properties.

Acry-Free

Monomer-free plastic Acri Free, produced in Israel, is more elastic than acrylic and does not cause allergies. Products from it are made using the injection molding method, which ensures precise fit of the base to soft tissues, as well as tight fixation. The compactness and translucency of the artificial gum make the false jaw convenient, comfortable, and aesthetically pleasing. The resistance of the structure to chewing loads prevents damage to soft tissues and also somewhat slows down atrophy. Orthopedic devices from Akri-Free are recognized as the best alternative to plastic false jaws, but they cost more.

Nylon

The main characteristic of the material of nylon prostheses is elasticity. The base is thinner, softer, and more compact than plastic, which makes false teeth comfortable for the patient. The translucency of the base ensures aesthetics. However, softness is also a disadvantage of nylon. The base quickly loses its shape, which negatively affects fixation. The device cannot be repositioned. During chewing of food, the load is not distributed, but is locally transferred to soft tissues, which causes pain in patients. The porous material absorbs dyes and changes the smell.

Advantages and disadvantages

The strengths of clasp dentures include their cost-effectiveness compared to implantation, ease of installation and high level of wearing comfort. The design is also aesthetically pleasing.

The disadvantages of clasp dentures are the long period of getting used to the design. It is about 1 month. At the beginning of wearing the prosthesis, it can rub the gums and also cause deterioration in diction. But these effects pass, and the money saved on implantation and a beautiful smile will remain with the patient.

Which is better

The main characteristics of acrylic, nylon and Akri-Free prostheses are presented in the table below.

Property/material Plastic Akri-Free Nylon
Life time 2.5-5 years 5-7 years 1-5 years
Aesthetics average high high
Fixation satisfactory good unsatisfactory
Dimensions large compact compact
Repair available available not possible
Flexibility low optimal high
Strength satisfactory high satisfactory
Allergy possible No possible

Among modern removable covering structures, products made from Acri-Free are considered optimal. Compared to them, plate apparatuses are very large, heavy, change taste perception, and require adaptation over the course of 2 weeks. Nylon quickly loses its shape, aesthetics, and quality of fixation. They will soon have to be changed, while devices from Acre-Free can simply be adjusted.

Installation Features

A partial clasp denture is placed only after preparation. The doctor conducts an examination and determines the presence of contraindications. Oral diseases that need to be treated. After this, the supporting units are prepared and impressions are taken for the manufacture of the structure. During installation, the prosthesis is fixed using special locks, and the patient should not feel discomfort or pain.

Rules of care

On average, the service life of clasp dentures is about five years. To extend these periods and maintain the functionality of the structure, the following care recommendations must be followed:

  • Teeth should be brushed twice a day, using toothpaste, a brush, and, if possible, an irrigator;
  • after each meal, the oral cavity should be rinsed with special solutions;
  • You should monitor the condition of your teeth by periodically visiting a doctor for preventive examinations.

Features of fixation on the upper and lower jaw

On the upper jaw

Fixation of the false upper dentition occurs due to the alveolar ridge, as well as the hard palate. Increasing the contact area of ​​the structure ensures tight attachment. The main condition for reliable fixation is the exact coincidence of the contours of the plate base with the prosthetic bed. The elasticity of the Acri-Free material makes it possible to create a palatal bridge of minimal size without compromising the strength of the structure’s attachment.

On the lower jaw

The inserted bottom row is attached to soft tissue only. The anatomical features of the jaw do not allow the introduction of additional elements to increase the contact surface in order to improve the quality of fixation. The orthopedic device is attached only by the base, which must be precisely adjusted in shape to the prosthetic bed.

Prosthetics or implantation?

In general, removable prosthetics or bridges are often an alternative to implants

.
Implantation is considered the best option - with its help, aesthetics and chewing function are restored to the maximum, and the service life of the pin is decades (many manufacturers give a lifetime guarantee for their products). For complete edentia
, for example, the
All-on-4
,
All-on-6
, when the artificial dentition is secured using, respectively, 4 or 6 implants.

On the other hand, prices for these technologies are higher than for alternative options. And sometimes implants cannot be placed due to medical contraindications - such as bleeding disorders, bruxism, periodontal disease, malocclusion, pathological abrasion of enamel, etc. In such cases, patients turn to other methods of prosthetics.

A doctor at our clinic will tell you which option would be best in your case during a free consultation. He will draw up a treatment plan and calculate how much it costs to make a prosthesis. We are distinguished by an attractive price for upper dentures in Moscow and the region, the presence of our own laboratories (which allows us to make dentures faster), and a staff of highly qualified specialists (average experience is 12 years). Whatever your dental problem, modern technology will certainly solve it.

Affordable dental implantation: how to quickly find a new tooth to replace a lost one

Patients are especially concerned about problems with their front teeth.
This is not only physical discomfort, but also problems with communication and self-esteem. Modern techniques allow you to maintain the aesthetics of your appearance. The main thing is to make the right decision in time. Clinic dentists fight for every natural unit, preserving it using affordable methods. But when the root is too damaged and it is impossible to restore it, the patient is offered removal. If the tissues are healthy and the bone has the required height and density, then immediate implantation is proposed. This step is psychologically comfortable for the patient and brings a minimum of unpleasant sensations.

The advantage of this method is that if you lose a non-viable tooth, you can immediately get a new artificial one. There is only one surgical intervention, there is also only one anesthesia, but two operations are performed at once: the destroyed root is removed and simultaneous dental implantation is performed. Our surgeons are highly qualified and perform manipulations flawlessly.

The tooth is removed, an artificial implant is placed in the same hole, and the gum is sutured. If there are no external circumstances, then a temporary plastic crown is installed on the pin. This is especially important when you have to work with the smile area. For the upper front teeth, special models of implants are used - with a relatively small diameter and a special specific thread.

Why do patients choose us?

  • Our patients say that the dentures are easy to use and quickly get used to them;
  • If it breaks, we try to repair the prosthesis;
  • Adaptation to a new prosthesis in a few days;
  • We restore teeth in various clinical situations. View photo examples;
  • Experience of specialists in the manufacture of prostheses for more than 20 years;
  • Individual approach to each patient;
  • Materials and equipment are certified from well-known manufacturers. Czech Republic, Switzerland, USA, Germany;
  • Cozy and friendly environment in dentistry;
  • We cooperate with qualified dental technicians, which is extremely important for orthopedic dentistry.

Implantation of upper chewing teeth

Chewing teeth are those units in the row that are subject to maximum load when chewing food, and also take an active part in this process. Chewing teeth are found in the rows of both the upper and lower jaws, but the teeth located at the top are more likely to be destroyed. If a person has lost an upper chewing tooth, it can also be restored with implantation. But implantation of the upper chewing teeth usually involves some difficulties. If the patient lost a tooth a long time ago, its restoration was not carried out - the bone tissue could have had time to atrophy to a large extent. To avoid osteoplasty and restore the upper chewing teeth as quickly as possible, modern implantologists resort to simultaneous implantation of the upper jaw with immediate loading.

GOOD TO KNOW: Immediate loading implantation involves installing a temporary prosthesis on the implant immediately after its implantation. The advantages of this approach: the patient does not walk with a defect in the oral cavity, can eat without restrictions, and the risks of bone tissue atrophy are completely eliminated.

The one-stage protocol is increasingly used in dentistry when implanting upper posterior teeth, since it allows you to obtain the following advantages:

1. Avoid sinus lift surgery. This is possible thanks to the use of several different models of implants at once when implanting the upper chewing teeth - classic and elongated designs.

2. An elongated (zygomatic) implant is used for fixation at an angle and thanks to this, the strongest adhesion of the artificial root to the bone tissue is achieved. Such implants will hold firmly even if there is severe atrophy of the jaw bone;

3. Avoid removing healthy teeth first. It will be possible to securely fix the prosthesis on two implanted implants;

Relieve the patient of psychological and physical discomfort. After the implants are implanted, a prosthesis is immediately placed on them, which holds firmly and will not fall out of the mouth when talking or chewing food. A person can eat as usual and not be embarrassed to smile. Another advantage of immediate loading of the implant is that the process of bone tissue regeneration will occur faster. Under constant load, it will begin to grow and will tightly cover the implanted implant, ensuring its rapid engraftment.

Take a short test and calculate the cost of treatment!

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Maxillary implantation techniques used to restore anterior teeth

If a person is missing one or two or three front teeth in the upper jaw, then the optimal solution may be a classic two-stage implantation.
The advantages of this technology when performing implantation in the upper jaw certainly include the highest level of aesthetics of the final result. High aesthetics is achieved by careful planning of the operation and taking into account all key details. The classical implantation of teeth in the upper jaw itself is divided into several successive stages:

  • Carrying out diagnostics, selection of implants, and also (if necessary) bone grafting operations;
  • Implantation of dental implants and installation of a gum former, which will allow you to obtain a beautiful contour of the mucous membrane in the implantation area;
  • Installation of crowns on an established implant.

Crowns for installation on an implant can be made from the most modern materials. For implantation of the upper front teeth, the best option is considered to be crowns made of dental ceramics - a durable, reliable material, the shade of which can be easily matched to the color of the patient’s natural teeth.

USEFUL TO KNOW: Many patients are interested in whether it is necessary to undergo additional bone tissue augmentation surgery before classical implantation of the upper teeth. The answer to this question will sound like this: yes, when implanting the upper teeth using classical osteoplasty technology, it is necessary to perform it, due to the fact that implants of a certain model will be implanted into the bone. If there is not enough bone volume, the implants simply will not stay in it and may fall out or fail to take root, and this can lead to the most negative consequences for the patient’s health! To avoid serious complications and make implantation of the upper jaw as safe as possible for the patient, qualified implantologists insist on preliminary osteoplasty.

However, practice shows that in the area of ​​the front teeth, in most cases, the bone tissue is in good condition, has the required height and volume, so if preliminary osteoplasty is needed, it can be done in the most gentle way possible.

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