What is dental implantation When do you need an alternative How can you replace implants For chewing teeth For front teeth With complete edentia Why do you need to restore teeth Which method is better
Patients are looking for an alternative to implantation due to financial or clinical restrictions on the implantation of artificial roots. Removable dentures (clasp, flexible, acrylic) and fixed products made of metal ceramics, all-ceramic, zirconium (dental bridges) can not fully replace implants. Rarely, missing units are replaced by displacing adjacent ones using braces. The preferred option is implantation: it guarantees an aesthetic, long-term and reliable result, with safety for neighboring units and benefits for the jawbone.
When an alternative to dental implants may be needed
Not everyone can get implantation. Contraindications for surgery:
- mental pathologies;
- immunodeficiency states;
- cancer;
- decompensated diabetes mellitus;
- rheumatism;
- problems with blood clotting;
- diseases of the central nervous system;
- diseases of bone tissue;
- inflammatory processes;
- severe heart pathologies;
- renal failure;
- increased sensitivity to antiseptics;
- age up to 18 years.
The list of contraindications varies depending on the implantation method. In addition to the restrictions on installing titanium roots, implantation has other disadvantages:
- relatively high cost of treatment;
- risk of implant rejection;
- the likelihood of damage to the maxillary sinuses (with prosthetics in the upper jaw row);
- complexity of the operation (the integrity of soft, bone tissue, nerve endings and mucous membranes is damaged - postoperative swelling and pain occur).
Bridge on implants
The ideal solution is to replace the full number of missing teeth with implants. But not everyone can “pull” its financial side. For such patients, experts offer a solution: install a bridge on implants. Such a decision becomes a reasonable compromise, and in certain situations it turns out to be the most rational option.
In this case, even before dental prosthetics, titanium “roots” are implanted. They are intended to serve as supports for the bridge structure, and their number will be less than the number of missing teeth. You also save on paying for the services of an implantologist, whose workload is reduced.
The procedure is carried out in three stages. First, a bed for the artificial root is prepared and a titanium implant is implanted. Then wait the allotted time until the healing process (osseointegration) is completed. This period varies for the lower and upper jaws and averages 3 and 6 months, respectively. After this period, supports for the prosthesis - abutments - are installed. After another time, a bridge is erected on top, which is made of metal ceramics or zirconium oxide.
What can replace dental implantation?
Removable dentures
If the patient does not have money for implants, they make do with removable dentures, which can be inserted and removed from the mouth without the help of a dentist. The type of structure being installed determines the number of lost units:
- there are not several units in a row - partial structures are needed;
- If you need to replace your teeth, a full removable structure will help out.
The design of the removable product is made of plastic pink gums and artificial teeth. The structure includes a metal frame, hooks, and locks. If a complete denture is fixed, due to the gingival base, the product adheres to the mucous membrane (for reliability, patients use fixing creams and gels). The partial denture rests on healthy units with the help of hooks and clasps.
There are types of dentures:
- Bugelnye. The structures are used to restore several elements. They have a metal arc or clasp. The product is durable and can be fixed even on moving teeth. The service life of the structure is 7 years or more. Among the disadvantages, they note: low aesthetic value (fastenings are noticeable), relatively high price of prostheses. Condition for prosthetics: the presence of at least 2 supporting teeth in each row.
- Flexible. Dentures are made from soft hypoallergenic plastics - they are lightweight, comfortable to wear, and fit well to the gums. Partial flexible structures are supplemented with fastenings - plastic hooks. Products last 5-7 years or more. Among the disadvantages, they note: the impossibility of repairing or adjusting the prosthesis in the dentist’s chair (the product is repositioned by a dental technician). When wearing a soft structure, the atrophic process in the bone progresses faster (compared to a hard one).
- Acrylic. Plate structures are made of hard plastics - they are not comfortable to wear. The chewing load will be distributed on the gums, and not on the supporting units. Plus - low cost. Of the minuses, they note: the length of the period of adaptation, methyl ester of methacrylic acid in the composition of acrylic (irritates the mucous membranes).
Fixed dentures
Fixed structures are fixed in the oral cavity - the patient cannot remove them without the help of a dentist. The prosthesis has the form of a single dental crown or complex (dental bridge), which is “put on” the supporting teeth.
Bridge-like products rest on healthy neighboring elements (they are pre-ground). A locking dental bridge in the form of a single crown has a latch inside (the other two are on adjacent teeth). The adhesive structure is fixed to the supporting units, not covering them, but joining the tooth wall (preparation is excluded).
Fixed dentures have the following advantages:
- instantly restore the aesthetics and functionality of the dentition;
- biocompatible, hypoallergenic;
- do not rub the mucous membrane, do not create the sensation of a “foreign body” in the mouth;
- wear-resistant.
The disadvantages of fixed prosthetics include the high price and the need for support in the form of healthy teeth. In the absence of a large number of units, this support can only be implants.
Depending on the material, non-removable products are classified into:
- All-ceramic. The dentures are made of pressed ceramics; they are durable and resistant to chips, scratches and discoloration. The products are successfully used in the restoration of the frontal row.
- Metal-ceramic. One-piece construction consisting of a metal base and a coating in the form of aesthetic porcelain. Durable products can withstand significant loads. An allergic reaction to the metal is possible. Suitable for restoring chewing teeth.
- Zirconium. The basis of the design is zirconium dioxide, the coating is a layer of dental ceramics of a selected tone (similar to enamel). The prosthesis is durable, fits tightly to the supports, CAD/CAM technology guarantees the accuracy of the restoration. The disadvantage of zirconium prostheses is their high cost.
Recover adjacent teeth with braces
An alternative to implants and a bridge to replace the lateral teeth is to move adjacent units to replace the removed ones. The duration of therapy depends on the number of missing teeth and the time the patient walked without them. Treatment can last up to four years.
Before therapy, a thorough diagnosis is carried out and probable changes in the bite are predicted. Possible complications of therapy include resorption of bone tissue and exposure of tooth roots.
Paid dental treatment
A private dental clinic provides an opportunity to effectively, efficiently, and painlessly solve dental problems. Treatment is carried out promptly, in comfortable conditions. Private dentistry doctors use modern equipment, high-quality materials and medications. It is possible to perform complex manipulations, prosthetics, and dental restoration. Due to high wages, private clinics attract experienced specialists with a decent level of qualifications.
There is only one drawback to paid dental services - prices, which are sometimes unaffordable for citizens with an average income. To turn to good dentistry, such patients are forced to first solve the problem of where to get money for dental treatment.
What is an alternative to implants for chewing teeth?
The chewing elements are more loaded than the anterior ones. The anatomy and localization of the units makes it difficult to care for the elements - the risk of developing dental diseases in the area of chewing teeth is high, the elements are susceptible to destruction.
If one or more teeth are missing in the chewing area, a dental bridge is placed, provided that there is something to attach it to - the adjacent units (including damaged ones) are pre-ground.
Among removable products, the use of a clasp design is justified - a durable option that does not bend under load. The product is secured with hooks or clasps.
Options for receiving budget assistance
The easiest and most affordable option is to go to a free clinic. Medical care is provided in emergency cases, for example, in case of acute toothache.
The main advantage of this option is that there are no fees (or minimum amounts). The list of shortcomings is extensive:
- outdated equipment in budget clinics;
- limited number of treatment options;
- you have to pay extra for more modern materials;
- long lines.
How to replace implants on front teeth
The frontal elements are not involved in chewing food, but high aesthetic demands are placed on them. As an alternative to implantation, a dental bridge is suitable for restoring teeth in the front row.
Metal-ceramic structures are not used in the smile area: the metal base darkens in the light; upon contact with metal, the mucous membrane may darken. Solid ceramics is a durable material, characterized by natural translucency, and looks like “your own” tooth. The most accurate, aesthetic and durable option is a zirconium dioxide prosthesis.
Circumstances of the dispute
In October 2016, a resident of Chelyabinsk began treatment at a dental clinic with a sonorous name. It was assumed that the patient would undergo prosthetic replacement of the upper jaw. The clinic valued its work at 492,000 rubles. We approved the treatment plan and began restoring the teeth.
A month later, the client paid most of the contract (300,000 rubles), around the same time the patient began to have her first complaints about the work of the specialists, but she continued with prosthetics. As a result, the treatment was delayed, the woman went to the clinic more than 60 times, and her implants were changed eight times at her request.
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On May 30, 2017, and then on October 11, 2018, the woman sent two complaints to the dentist. She claimed that she received poor quality services. The treatment, in her opinion, takes too long, and due to the installed dentures, her bite has changed, discomfort has appeared while eating, and she has begun to burr. After the patient’s claims, meetings of medical commissions were held. The experts decided that the cause of the discomfort was unfinished treatment. The patient was asked to come for further appointments. And together with the upper jaw, the lower jaw will also be prosthetic.
note
The woman began expensive dental treatment; the signed plan was estimated at 492,000 rubles. The patient paid most of this money (300,000 rubles), but the treatment was delayed, the woman went to the clinic more than 60 times. Therefore, the woman refused to continue treatment and went to court: she complained that she began to burr due to the installed temporary implant, and demanded that she be reimbursed for the entire cost of treatment and another 500,000 rubles. compensation for moral damage. The court refused to satisfy the claim. He was convinced by the arguments of the experts and the defendant that the treatment was not of poor quality - it was simply not completed. Now the “dental dispute” was considered by the Supreme Court (No. 48-KG20-22-K7).
Which method is better to choose?
Implantation is a privileged way to restore lost elements in the absence of financial and clinical restrictions. Advantages of the method:
- Implants are durable. When installing a dental bridge, a replacement will be required after 5-7 years. The service life of implants is at least 25 years .
- Adjacent elements remain untouched. Implants do not require support. When installing a dental bridge, the supporting units are pre-ground, which leads to their destruction.
- Stopping bone atrophy. Implantation guarantees an even chewing load on the jawbone - the bone is not destroyed.
- Preservation of taste sensations. Removable structures dull the sense of taste due to the massive base blocking the receptors.
- Reliable fixation of prostheses and installation of various options for orthopedic structures.
Author of the article Voznyuk Vladimir Aleksandrovich Maxillofacial surgeon-implantologist of the highest category
Experience more than 30 years
Discount coupons and microloans for dental treatment
Promotions and discounts give everyone the opportunity to receive one or another medical service at a reduced price. Dentists in Moscow regularly issue discount coupons, with which the cost of care is reduced by 50%, 70%, 90%. This is an economical, convenient option for visiting expensive private clinics, but it also has a number of disadvantages:
- applies only to certain types of services;
- has a limited validity period;
- Requires pre-registration;
- Not suitable for emergency or unforeseen situations.
It is more convenient to use discount coupons for preventive examinations or optional services (esthetic dentistry, tooth enamel whitening) that are not related to primary care.
When teeth need to be treated urgently, some patients turn to financial institutions to obtain microloans. Such a loan is processed quickly, sometimes in just half an hour. The requirements for the borrower and the package of documents are minimal. Microloans are provided only for short periods and at fairly high interest rates. The contract specifies large fines or penalties for each day of delay. Therefore, from a financial point of view, such a solution is not very profitable for patients of dental clinics. The most profitable solution would be to take out a loan secured by a car or title at a car pawnshop, since the loan can be issued for a longer period than in an MFO and at a favorable interest rate for the borrower.
Visit a small town
Most of us are sure that the most professional services can only be obtained in big cities, but this is far from the truth. Moreover, dentists practicing in large population centers have high overhead costs, so they inflate the price tag for their services.
You can get just as good service if you travel an hour and a half to two hours to the nearest town. Provincial dentists also have enough experience and education to work in their field, and their services are much cheaper. It is worth noting that in rural areas the problem of shortage of medical personnel is especially pressing, so it is better to go to small but established cities.
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How long does it take to insert teeth?
Is it possible to get teeth inserted in one day so that you don’t have the reputation of a gap-toothed person? If you use modern methods of inserting teeth, you can get quick results. However, a lot depends on the condition of your oral cavity. She needs to be prepared for prosthetics. It is this stage that most often takes a lot of time. Before you insert teeth, they need to be made, and this takes time, because the prosthesis is made individually, based on a cast of your jaw.
Inserting temporary teeth in one visit is quite possible. At least you will not remain toothless for the period while your permanent denture is being made. If the task is not to replace the removed “unit”, but only to insert 1 tooth that is badly damaged, then you will have to visit the dental office several times. For example, you will have a ceramic tooth inserted, but before that:
- heal the root;
- the remains of the coronal part will be removed;
- they will take an impression of the stump inlay;
- they will make it;
- will install;
- the impression will be taken again;
- a crown will be made;
- will carry out a fitting;
- They will install a crown or return it to the dental technician for revision.
Here is the answer to the question: how many days does it take to insert teeth? From one day to several weeks, if we are talking about restoring a tooth from which a strong root remains. But how then are teeth inserted if there is no root? If bridge prosthetics is performed, then you can limit yourself to one impression, but it is unlikely that you will be able to insert teeth without turning the supporting “units”. And preparing teeth also takes time. So in this situation, one visit is not enough.
Today, more and more often there are proposals to insert teeth in one day and even put an immediate load on the implant, whereas previously it was believed that this titanium element must still take root in the human bone tissue before an abutment and crown are installed on it. And this sometimes took several months. What may have changed in technology to allow immediate loading of implants is worth exploring in more detail.
Where can I get quality teeth inserted?
If you need prosthetics, it is better to choose a clinic where they do it efficiently. If you don’t have someone who can recommend a doctor or medical institution, then you should go to the website of the clinic that interests you. If it describes in detail how, for example, to insert teeth made of zirconium or metal-ceramics, then this is already a plus. If there is information about specialists, photographs of dentists and dental technicians, then this inspires even more confidence, and when there are one or several pages with certificates - both of the organization and of the doctors - this is the best option. If you still doubt that this is a clinic where they can insert high-quality teeth, then you can call and make an appointment with a doctor. This way you will form an impression of the doctor and understand whether you can be treated by him. After all, personal contact between the doctor and the patient also decides a lot.
How long does it take to insert teeth after extraction?
Usually the doctor lets the hole heal and only then takes on prosthetics. After all, it is not always possible to insert a tooth in place of a removed one right away. An exception may be new technologies that allow an implant to be installed directly into the hole. But we are talking only about it, and not about the complete structure. Often such operations are performed under general anesthesia. Teeth can be inserted under anesthesia for those patients who are afraid of the dental office, even if there are no other indications other than psychological ones.
Trainee services
Surely you have heard about the services of hairdressers or cosmetologists-trainees. To gain experience, they provide services under the supervision of a master. Typically, a nominal fee is charged to the client for this. The same thing happens in dental colleges. They offer services to their applicants to gain real-life experience and practice their skills. Of course, the process is monitored by certified specialists who, if necessary, intervene in the process and make their own adjustments.
However, some dental educational institutions offer their services only to low-income citizens. The disadvantage is that you may be put on a waiting list or may need to spend more time during the procedure as professors review and discuss the student's work. But if you do decide, you will be able to save a decent amount of money.
How to get a deduction?
We'll have to wait for the new year. In January or the following months, take a 2-NDFL certificate from work about income for the year when you had your teeth treated. Then, on the website nalog.ru, fill out a tax return in form 3-NDFL. Send a 2-NDFL certificate, a copy of receipts, licenses of the medical organization where you had your teeth treated, and bank account details for a refund to the tax office at your place of residence. Officials will have three months to verify documents and a month to send money.
If you are an individual entrepreneur, you will not be able to receive a tax deduction because you pay a lower percentage of taxes.
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Methods of dental prosthetics in case of large absence of teeth
Before proceeding with methods of prosthetics in the absence of a large number of teeth, it is necessary to define the concept of prosthetics itself and the features of each of its types. After all, it is precisely these features that determine the possibility of recreating the dentition in the event of the loss of several adjacent teeth at once.
Dental prosthetics refers to the professional reconstruction of the lost form or function of both missing and significantly damaged teeth. Therefore, prosthetics include restoration methods such as inlays, veneers and crowns, which are inappropriate to describe in relation to the situation under consideration (they are applicable for restoring destroyed or damaged teeth).
Here are the main groups of prosthetic methods, each of them includes those that are applicable when prosthetics are needed in the absence of one , two or more teeth:
- Fixed prosthetics is a method of installing a long-term structure in the patient’s mouth. Used to recreate one or two adjacent teeth (lost or damaged). Fixed prosthetics has the following features:
- the device cannot be removed without breaking it;
- the prosthesis is not able to evenly distribute the load on the gums; all the pressure falls on the teeth to which the device is attached;
- For permanent prosthetics, the following materials are used: metal alloy;
- ceramics;
- do not require filing and depulpation of nearby supporting teeth;
- according to the size of the prosthesis;
By mounting method:
- By redistributing the chewing load.
- Implantation is the insertion of a pin into the jawbone on which an artificial tooth is installed. Based on implantation, both fixed prosthetics are performed (artificial crowns are installed on the implant) and conditionally removable (a removable structure is attached to the implants). The second method is optimal in a situation of complete loss of teeth.
Next, we will describe all possible methods of dental prosthetics in the absence of them, indicating the advantages and disadvantages of each.
Does it hurt to put teeth in?
It is impossible to say that it is possible to insert ceramic teeth so that the patient does not experience discomfort at any stage. Any prosthesis cannot be made perfectly right away, so it must be adjusted. And if a chewing tooth is inserted incorrectly, it can touch soft tissue when a person chews or even talks. Sometimes even a patient can come and start complaining that after he had a tooth inserted, it hurts. On the one hand, this may seem funny, since an artificial structure cannot hurt on its own. On the other hand, this is a reason to pay attention to the condition of soft tissues, because they are the ones that can hurt and become inflamed. If the prosthesis is made on an inlay, that is, with a real tooth root, then there may be options for the development of periostitis and other inflammatory processes. It is enough for the infection to get into the canal at the root, and the body may not be able to cope with it on its own.
Not only a ceramic tooth can be inserted unsuccessfully, but also a plastic or metal-ceramic one. If possible, the doctor should adjust such a prosthesis on the day of installation so that the patient does not experience pain. The most difficult thing is with removable dentures, as they require long-term correction. Initially, the installation of this orthopedic structure does not cause discomfort, but it may appear later, when the patient has already left the office.
Such dentures rub the gums, so they have to be ground down, and it is not always possible to identify all the problem areas the first time, so that a person feels with the removable structure as with his own teeth. But this is a good way to insert teeth on a limited budget.
Compare prices in several clinics
The cost of medical services depends not only on the materials for treatment and the qualifications of the doctor, but also on the location of the clinic, advertising, popularity, etc. There is a high probability that the cost of services in the city center will be higher than on its outskirts. For example, to install a seal in the center of Moscow costs 4,460 ₽, and near the Moscow Ring Road - 2,600 ₽. Taking into account the fact that several services are often required, this amount grows significantly.
Go to several clinics for examination. Compare their costs and reviews of doctors. Choose the one with better reviews and lower prices.
Dental societies and charities
Dental societies are not meetings of dentists where they gossip about their patients over dinner. They host several scheduled events where they provide free or reduced-cost dental services to low-income patients. Certain associations offer dental assistance to specific groups of citizens, for example, children, women, survivors of domestic violence, and people with disabilities.
A good place to start looking for affordable dental implant replacement or replacement options is to visit the official websites of dental associations in your area. As a rule, all the necessary information is available there and there is a hotline for citizens to call. If you decide this is the right option for you, seek help as early as possible as you may be put on a waiting list.
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Studying price lists
After choosing a clinic, you need to understand how much it costs to insert a tooth, what are the prices per “unit” for a particular method. The cheapest option would be a removable plastic prosthesis, the most expensive would be an implant. If you need to insert a tooth using this method, the price may be quite reasonable, but if you need to insert the teeth completely, then it is better to use the “all on 4” method. In this case, only four implants are installed, onto which the entire jaw structure is attached. This not only makes the procedure cheaper, but also reduces time costs.
If you need to replace several teeth, you can use clasp or bridge structures. They are much cheaper than implants, but they will not protect you completely from loss of bone tissue.
Why is it necessary to restore teeth?
Displacement of adjacent teeth to the site of a previously removed one.
In case of single, segmental defects of a row or complete edentia, the patient should be consulted about restoration, since the integrity of the dentition affects the health of the whole organism.
The absence of one, several or all teeth provokes:
- displacement of surviving units;
- row curvature;
- bite pathologies;
- rapid damage to remaining teeth;
- bone tissue atrophy;
- sagging gums;
- diction violations.
Due to improper load distribution, the trophism of bone tissue deteriorates and the contours of the facial skeleton change. Premature manifestation of signs of aging in the form of deformation of the oval of the face and the formation of wrinkles is possible.
Dental defects create communication problems, give rise to complexes and reduce the patient’s quality of life.
Implantation allows you to prevent all negative consequences. However, this method requires surgery and the use of expensive materials.
Lost her teeth and gave birth to a disabled child
7. My name is Sveta. I am raising two daughters. The eldest is studying, the youngest is 14 years old and is bedridden. After working in a hazardous factory, she lost her teeth and gave birth to a disabled child. Over the years, I underwent oral sanitation and removal. Now I grind food for both the child (he doesn’t chew on his own) and myself. I turned to the local department of social protection for help, to allocate funds for prosthetics. You are not supposed to, just a child, handle it yourself or save from your pension. I wrote to the Ministry of Health with the question “How should we live? We undergo a medical examination every three years, because... medical examination is free." But it turns out that a lot is given to us, and if I am not disabled myself, then it is not due. How to save? She is 14 years old, she needs to buy a lot of diapers, the state gives the minimum, she needs to buy more, she needs to buy medicines and treatment at her own expense. Medicines for the brain are given free of charge, and damage to other organs is treated for retirement, go to hospitals, call a taxi, because... I won’t drag a stroller onto public transport. The eldest daughter is learning how to at least get her back on her feet. My ex-husband drank himself to death and is not helping. One dentist generally humiliated, “look for a sponsor, although... who needs you with such a mouth.” That's what's offensive, when they humiliate you, you survive anyway, you try for the children. Even though I spoke out, I’m not afraid to send the number, it’s still empty (in case it’s a scam). Although, what if someone really helps. Danilova S. 63900275 9002162042.
