A clasp prosthesis is a removable denture. It is an option when multiple teeth are missing in the upper or lower jaw. The statutory health insurance recommends a clasp prosthesis as standard care for enormous gaps because a clasp prosthesis is easy to manufacture and inexpensive. In this article, you will learn all about the advantages and disadvantages of this denture.
Fixed dentures are only possible without problems in small, tooth-limited gaps. Large gaps and missing final molars are often easiest to use with a removable clasp denture.
Implants are an alternative to prostheses. However, implants cannot use in every patient and are expensive.
The model cast prosthesis or clasp prosthesis
The cheapest form of permanent dentures is the clasp prosthesis. It is one of the removable prostheses and is also called a model cast prosthesis because the base and the brackets are made of metal. It attaches them to the teeth with cast brackets.
Manufacture of a clasp prosthesis
1. To produce a clasp prosthesis, we must take impressions. In the dental laboratory, we then create a model. The dental technician uses this model to make an impression tray that only fits in your mouth.
2. With this impression tray, another impression is taken with a more precise material. The dental technician creates a model again. The dental technician then creates your dentures on this model.
3. At a third appointment, the dentist transfers your bite situation to the models. For this, he/she uses a bite template or a silicone bite registration. Now the dental technician knows exactly how your jaws are stacked and starts his work. He first models the removable dentures in wax. The wax model is later transferred to metal.
4. Sometimes, your dentist will try on the thin metal framework of the clasp denture in your mouth before the denture is finished. If everything fits well, the dental technician places the artificial teeth on the denture base.
5. Now the model cast prosthesis is tried on one last time. If the removable dentures fit well and nothing bothers you when you bite, we can complete the removable dentures.
6. You can take your new dentures with you at your last appointment.
Advantages and disadvantages of clasp prostheses
- Simple and inexpensive production
- Healthy teeth do not have to be ground, because it holds the denture in place by the brackets
- If we lose more teeth, they can usually be easily attached to the prosthesis
- The visible brackets are silver and thus disturb the aesthetics of the teeth
- The brackets do not always offer an optimal hold. Removable dentures, which attach to the remaining teeth via double crowns or attachments, hold much better.
- Many patients also complain about the metal base that comes to rest on the roof of the mouth
Tip: It is best to have your dentist show you clasp dentures and partial dentures. Then you can decide what you will be happy with.
Cost of a clasp prosthesis
In most cases, a clasp prosthesis corresponds to standard care. This means: The fixed subsidy from the statutory health insurance company covers around 50% of the treatment costs.
Interim prostheses subsidies by the statutory health insurance in almost all cases.
If you have an exceptionally low income, you also have the option of filing a hardship application. This can further reduce your contribution.
Higher quality dentures and implants are supported by the insurance with the same amount as the standard care. The cost of implants can quickly amount to several thousand euros.
Other variants of removable dentures
Removable dentures come in different forms. If all teeth are missing, we must make a full denture. These “third teeth” make of plastic and lie on the gums.
When the jaws have receded, a full denture rarely holds up very well. This is particularly a problem in the lower jaw.
If there are still teeth in the mouth, a secure hold can also be achieved in the lower jaw. We can then attach the prosthesis to the teeth and do not just lie loosely on the mucous membrane. There are different partial dentures.
The interim prosthesis
The simplest prosthesis is the interim prosthesis or transition prosthesis. We need it when several teeth have to be extracted.
The dental laboratory produces this type of prosthesis before the tooth is removed. They make it of plastic, artificial teeth, and curved brackets. We attach the interim denture to the remaining teeth using the brackets.
Since they make it before we extract the teeth, this restoration does not always fit perfectly. The temporary prosthesis is not a long-term solution, but only intends to be worn for the period in which the gums and bones are healing.
After the gums and bones have healed, we can use better quality dentures.
Telescopic prosthesis or attachment prostheses
It combines partial dentures that are attached to teeth or implants via crowns removable dentures. It does not fix them but offer a secure hold. It provides the teeth next to the gaps with crowns on which there are holding elements for the removable dentures.