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False Teeth – What are The Options?

by Tijana

Most people lose several of their teeth during their life – and then need the “false teeth”. But that means what exactly? And what options are there for you if you need false teeth?

false teeth

False teeth – what is it?

“False teeth” mean any form of a dental prosthesis or tooth replacement. The first permanent teeth are the milk teeth, the second is the permanent ones, and the third are all artificial teeth that are inserted after the tooth loss.

What types of false teeth are there?

A distinction is made between fixed and removable prostheses and hybrid prostheses.

1. The fixed prosthesis is a bridge with real teeth as pillars or it is supported by implants.

2. The removable denture is a full denture,  or a partial denture. A full denture replaces all the teeth in a jaw, we use partial dentures when there are remaining teeth and only need to be supplemented. The partial dentures hold on to the remaining teeth with brackets. As clasp prostheses, they are part of the standard care and they receive a fixed allowance from the health insurance company.

3. Hybrid dentures are a special form of the third teeth. It anchors them on individual residual teeth or implants and is to be classified between removable and fixed dentures.

Fixed false teeth: implant bridge

These dentures are very suitable for replacing single or fewer teeth in a row.

  • We attach a dental bridge to at least two pillars. These pillars can be your teeth, which are ground by the dentist and then crowned.
  • We use an implant bridge when there are no real teeth, and they anchor the dental bridges on implants.
  • A special form is composite bridges that are anchored on implants and natural teeth at the same time.

Advantages and disadvantages of fixed dentures

The greatest advantages:

  • The firm seat in the mouth is felt to be very pleasant
  • The third teeth are firmly anchored in the jaw
  • They do not interfere with eating
  • They are aesthetically top quality
  • The cost of a bridge on real teeth is covered by your health insurance. However, this only applies to metallic material in the anterior region with a tooth-colored veneer.

The major disadvantages:

  • Either real teeth must be ground, which means a lot of loss of natural tooth substance
  • or you need implants that are expensive and not subsidized by health insurance
  • A disadvantage of the composite bridge is the risk that the different mechanical stability of the implant and the real tooth can negatively influence one another.

The special feature of the implants

Implants are not equally suitable for everyone. There must be enough jawbone to securely anchor an implant. The jawbone must not be inflamed, otherwise, periodontitis treatment at the dentist must first be carried out on the teeth.

Under certain circumstances, health insurance will pay for this treatment. If there is not enough bone, bone grafting may be an option. However, this is expensive and is not covered by health insurance.

Removable false teeth: full denture

If we have lost all your fixed teeth, we can use full or full dentures as third teeth in both the upper and lower jaw.

The prosthesis comprises a base made of plastic in the color of your gums and the plastic teeth in it. These are ready made and can be selected from a wide range of colors and shapes according to your wishes. These prostheses adhere to the mucous membrane or the jawbone through suction and saliva as “glue” with no further anchoring. Because of this, it is often difficult to achieve a secure hold with the full denture that patients can use to eat and talk with ease.

Advantages and disadvantages of the full denture

The greatest advantages:

  • The costs are covered by the cash register
  • The supply is relatively quick, relatively uncomplicated, and involves little effort for you.

The major disadvantages:

  • These prostheses rarely fit well
  • They feel different from fixed teeth
  • The seat is often very unsteady, especially in the lower jaw, especially if the bone has broken down significantly, but adhesive cream is often also required in the upper jaw.

How a better hold of the full denture is possible

If your full denture does not fit properly, please speak to your dentist about it. There are different ways to improve the hold, even without adhesive cream.

Relining is often a solution. Your prosthesis is expanded so it adapts better to your jaw. The health fund pays the costs every two years. Some prostheses also have too long or too short a rim that does not allow sufficient suction. After a few years of wearing it, it is quite possible that you need a new prosthesis. A hybrid prosthesis on implants may also be an option for you. The All-on-4 treatment concept could also interest you – your dentist will be happy to advise you.

Removable false teeth: partial denture

This prosthesis only replaces part of the natural teeth and is attached to the remaining teeth using brackets.

It looks like the full denture: it makes the base of pink plastic with prefabricated plastic teeth. One big difference, however, is that the partial denture has a metal frame, so it is more break-proof. They cast your brackets from metal, which is often clearly visible in the visible area. For this reason, many patients want an alternative, such as implants or a hybrid prosthesis.

Depending on the situation in the mouth, the hold is often good, but sometimes the prostheses tilt when chewing or lever themselves out during certain movements, especially in the lower jaw. Here, too, an improvement can often be brought about by relining – ask your dentist for advice.

Advantages and disadvantages of the partial denture

The greatest advantages:

  • The dental prosthesis with braces is covered by the health insurance
  • With these dentures, the remaining teeth only must be ground minimally, if at all
  • You can get long-lasting dentures quickly and easily

The major disadvantages:

  • They do not satisfy many patients with the aesthetics and the fit of the clasp prostheses. The hybrid prosthesis can be an alternative.

The middle ground: the hybrid prosthesis

A hybrid prosthesis is understood to mean a dental prosthesis that can be removed but feels like a fixed prosthesis.

There is the option of attaching this prosthesis to residual teeth using special double crowns or to implant for edentulous patients. We use telescopic prostheses for attachment to the remaining teeth. These dentures are an excellent option for patients who are not satisfied with the visible brackets and the fit of the brackets. However, they are not covered by the health insurance fund; as always, they only receive the fixed allowance for the corresponding standard care and must pay the difference themselves.

We can also use a hybrid prosthesis for edentulous patients. The prosthesis is then anchored in the jaw like the telescopic prosthesis via dental implants.

Advantages and disadvantages of the hybrid prosthesis

The greatest advantages:

  • Overall, the hybrid prostheses are a suitable compromise between the advantages of the fixed and the disadvantages of the removable dentures.
  • They have an extremely good hold and are significantly cheaper than a restoration that is completely based on implants.

The major disadvantages:

  • These dentures are not part of the standard care
  • They do not cover most of the costs.

You can now calculate the costs of your “third parties” in just three steps

  1. Provide information about your desired treatment
  2. Receive an immediate and non-binding estimate of the costs
  3. Get to know a dentist near you

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