Removable dentures: what they are, how to choose and how much they cost

• Peculiarities
• Kinds
• Lamellar
• Sandwich dentures
• Quadrotti
• Clasp
• Fixed
• Prosthetics or implantation?
• Manufacturing
• Prices
• Work examples
• Doctors
• Reviews

An upper denture is used in cases of partial absence of teeth or complete edentia in the upper jaw. This method of restoration in Moscow RUTT dentistry will return the patient’s smile and self-confidence in a difficult situation for him. Together with a clinic specialist, you can choose the type of structure and material for prosthetics of the upper teeth that is suitable for the price.

• When used:
  complete or partial absence of teeth in the upper jaw
• Type of anesthesia:
  local anesthesia
• Installation time:
  from 1 day
• Materials:
  metal, ceramics, zirconium dioxide, acrylic, nylon, etc.
• Features:
  step-by-step treatment possible
• Age restrictions:
  18 years and older

Why is it important to get dentures when missing teeth?

Every qualified dentist will tell you that you can’t walk around for long with missing teeth. Prosthetics of the upper jaw, as well as the lower one, must be carried out in a timely manner. Let’s highlight some points on what this affects:

• the first thing is aesthetics when smiling and talking. But this is a purely individual question. Some people are willing to put up with it;
• change in facial features - the upper lip looks strange, in the absence of front teeth, and in the absence of lateral teeth, the cheeks sag, nasolabial wrinkles become wrinkled;
• speech defects appear;
• there is no necessary load on the jaw, which leads to a poor supply of nutrients in this area. Bone is a living matter; if there is insufficient or no load, it can atrophy - the volume will begin to decrease, the density will change. For example, an implant cannot be inserted into such a bone without prior osteoplasty (bone augmentation surgery);
• neighboring teeth shift towards the voids, gaps appear, the rows become curvature, and the bite changes. And, if a person later decides to have prosthetic teeth in the upper jaw, he will first have to work with an orthopedic dentist to return the shifted teeth to their place.

Tooth displacement

Pak Roman Vladimirovich Dentist-orthopedist, doctor of the highest category

Is it possible to install a bridge that will restore 3 teeth in the upper jaw? What material?

Restoring such “extended” areas is a controversial issue; in many cases, implantation is more preferable. Only a doctor can answer the question more accurately after a visual examination and the necessary diagnostics.

Pak Roman Vladimirovich Dentist-orthopedist, doctor of the highest category

I want to restore the chewing teeth of the upper jaw with the help of a bridge. Which option is the cheapest?

The most affordable option for prosthetics of chewing teeth is cobalt-chrome with gold plating.

Indications and contraindications for prosthetics

indications for restoring extracted teeth in the upper jaw . These are aesthetic defects, a significant degree of destruction of the coronal part by the carious process, pathological abrasion and, of course, loss of chewing efficiency.

As for contraindications, they also exist, but it is worth noting right away that there are no absolute contraindications. All of them are either temporary or relative. Temporary contraindications include: pregnancy, systemic diseases in the acute stage, drug addiction, chemotherapy and radiation therapy. Local contraindications are: insufficient hygiene and acute inflammatory diseases of the oral cavity, diseases of bone tissue and mucous membranes. General contraindications are: blood diseases, allergic reactions to anesthetics or materials used in prosthetics, mental illness, systemic use of certain medications, acute stress.

However, a qualified dentist will always be able to recommend the most optimal design for the patient. This depends on the indications with the absence of contraindications, individual wishes, acceptable cost, etc. In any case, the choice is very large and the patient will always be able to give preference to one of the proposed effective methods.

Date of publication: September 20, 2020 Last update: September 22, 2022 © 2020 Professorial Dentistry “22 Century”. All rights reserved.

Types of dentures for the upper jaw

The upper denture can be of the following type:

• removable
  - the patient can remove it, remove it and put it back;
• non-removable
  - prosthesis fixed on dental implants;
• conditionally removable
  - removal only in the dentist’s office using special tools.

The doctor may suggest making the upper denture removable.

in case of complete loss of teeth or in the presence of one or more remaining ones. Let's look at the types of removable dentures for the upper teeth. We will dwell on some things in detail, and mention others briefly.

Lamellar dentures

A budget option for upper teeth prosthetics, the price is also not high, as is the convenience. The so-called “false jaws”, which are removed at night. The prosthesis is a plate simulating the sky with teeth. Attached with suction cups. Feature: installation with complete edentia.

Complete removable acrylic denture in a smile

Pros:

• low price;
• fast production and installation;
• load distribution evenly.

Minuses:

• the first days, nausea and a gag reflex are possible from the plate covering the palate;
• violation of diction;
• difficult care;
• injury to soft tissues, their rubbing;
• acrylic can cause allergies;
• insufficient fixation, it is necessary to use special ointments and gels.

Removable types of dentures for the upper jaw differ in material, they can be:

• acrylic
  _ Inexpensive option, but may cause allergies;
• acry-free
  . Hypoallergenic material - improved acrylic plastic, fastenings (clasps) are made of the same material - invisible;
• nylon
  _ Soft, comfortable, aesthetically pleasing, their peculiarity and big disadvantage is that they stretch, quickly become unusable and cause pain when chewing.

A type of removable denture can be called a butterfly denture, which is installed in the absence of 1-2 teeth. Attached to adjacent teeth using petals. Many dentists consider it a temporary measure.

Sandwich prosthesis

A prosthesis is used when there are several supporting teeth that do not need to be ground. Removable design without palate, without arches or plates, which allows you to wear it comfortably without irritating soft tissues. Hard acrylic plastic and flexible polyurethane. Fasteners - telescopic crowns.

Quadrotti prostheses

Made from modern material that does not cause allergies, soft and comfortable plastic. They look natural in the mouth. Perfectly suitable as a prosthesis for the upper front teeth. Aesthetic. There is no overlap across the palate, which is very convenient for the patient.

For partially removable

prosthesis of the upper teeth requires the presence of one or more teeth acting as support. In addition, these must be strong and strong elements, because the upper denture will be attached to them.

Clasp dentures

On a reinforced metal frame there is a pink nylon or acrylic base under the gum with artificial teeth. When replacing the upper jaw with prosthetics, a thin metal arch runs across the palate (there are models without it). The structure is attached to the supporting teeth in two ways:

• with the help of clasps
  covering the supporting teeth. When you smile, you can see them;
• using attachment
  locks. Some stand on the base, while others directly on the crown. Such fastenings are completely invisible;
• telescopic crowns
  are rarely used. The supporting teeth are prepared (sometimes not), and crowns with a prosthesis are attached to them. Those. they are both crowns and attachment points.

Pros:

• reliable fixation;
• does not block the palate - much more comfortable than an acrylic prosthesis with a full imitation of the palate;
• increased strength.

Minuses:

• not suitable for completely edentulous patients; support teeth are needed;
• metallic taste and changes in the taste of food;
• They are not placed in the absence of distant, outer teeth.

Fixed dentures for upper teeth

Sometimes in dentistry they are called conditionally removable. This is a complete All-on-4 (all on four) or All-on-6 (all on six) dentures in the absence of all teeth. Where the structure is supported by 4 or 6 implants, respectively. All-on-6 is considered more reliable, since the load is distributed over 6 support points. Fixation is somewhat similar to clasp with a locking fastening, only instead of crowns they cling to the supragingival part of the implants. The microlock is of beam type and push-button type.

Example of ROOTT implantation in the before-after photo

With complete edentia and bone atrophy, prosthetics of the upper teeth on implants may be the only way out.

Disadvantages of removable prosthetics

Despite the simplicity and ease of installation of removable dentures, these designs have more disadvantages than advantages:

• the inability to create a uniform load on the jaw tissue, which gradually leads to their atrophy (decrease in volume) and the need to change the model (limited validity period);
• insufficiently reliable fixation in the oral cavity, which often creates problems when chewing and unclear speech;
• difficult process of getting used to wearing; some sensitive people cannot get used to a foreign object in the oral cavity due to injury to soft tissues;
• It is impossible to carry out prosthetics immediately after tooth extraction, as is the case with one-stage implantation.

Removable dentures should be installed only when there are no other prosthetic options, since there are contraindications for installing bridges or prosthetics on implants.

Manufacturing of removable dentures

The main steps in the manufacture of upper removable dentures are as follows. They may vary slightly depending on the type and material chosen, but we will consider the removable option:

1. an impression is taken, on the basis of which a wax model of the jaw is made;
2. a plaster prosthesis is cast in the articulator;
3. fitting takes place in the patient’s mouth;
4. in the laboratory, the technician makes the final version - a metal frame with bases and crowns made of the selected material and color;
5. fitting, fitting in the office, fixation. On average, the work takes up to 2 weeks.

Article Expert

Pak Roman Vladimirovich Dentist-orthopedist, doctor of the highest category

Work experience: more than 30 years

Advantages of the RUTT clinic and cost

At ROOTT clinics in Moscow, located at Butyrskaya and Proletarskaya metro stations, you will receive:

• full objective consultation on prosthetic methods;
• guarantee for all types of dentures for the upper jaw installed by us;
• comfortable restoration of chewing or frontal rows.

The cost of restoration depends on the specific clinical case: the number of missing teeth, the chosen design, material and work of specialists. You can find out more about the cost of an upper jaw denture by phone or at a free consultation with a specialist.

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Care and storage

Dentures must be periodically removed from the mouth and cleaned. It's great if you do this every time after eating, but if this is not possible, you can rinse them in the morning and evening. Full dentures can be left in your mouth overnight, but it is best to remove them to give your gums a rest. In this case, before putting it in a special box, you need to thoroughly clean the prosthesis - rinse with boiled water, treat with an antiseptic solution or brush. It is recommended to have it professionally cleaned twice a year.

There is an opinion that the prosthesis should be stored in water or in a special solution. This is not so - a similar method was suitable for rubber prostheses, but modern technologies have made it possible to move away from it. Now it is enough to wrap the prosthesis in a cotton cloth and put it in a special box, where it will be protected from the sun, mechanical damage, heat and chemical influences.