Home Treatment methods Removable Dentures: Fixation, Options & Costs

Removable Dentures: Fixation, Options & Costs

by Tijana

If some teeth are missing and the dentition has enormous gaps, then often only removable dentures are possible. But what types of replacements are there, and what are their advantages and disadvantages?

Removable Dentures

Removable Dentures – What is it?

Removable dentures comprise rows of artificial teeth that replace the missing teeth. They mostly make the base that rests on the mucous membrane and the artificial teeth of plastic.  They anchor the replacement to your own natural teeth in various ways.

You can remove the dentures for cleaning and care and then put them back in place. It completes the dentition, so you can chew and speak better again. In addition, it disperses the chewing force, which protects the natural teeth, the jaw, and temporomandibular joints.

Removable dentures – the different variants

There are different versions of removable dentures. Whether partial dentures, model cast dentures, or implant-supported dentures.

Variant 1: The partial denture

A so-called partial denture is made when some teeth are missing, but not all. We would then like to give you an overview of the most important types of partial dentures. In addition, there are a few other treatments that are used less often.

The telescopic prosthesis

The removable part comprises a plastic base that rests on the mucous membrane and the plastic teeth.

They anchor the removable partial denture with the help of so-called telescopic crowns.  They attach these crowns to specific teeth in the mouth and are not removable. The telescopic prosthesis has corresponding recesses that fit perfectly with these crowns. As a result, we can push the dentures onto these crowns and then sit relatively firmly.

Costs for patients with statutory health insurance: 2,000 – 2,500 euros if, for example, 3 teeth must be crowned. However, prices vary depending on the treatment situation.

The model casting prosthesis

Dentists attach the dentures to certain healthy teeth with metal brackets.  The clamps snap into place when inserted, so the prosthesis then holds. Manufacturing a clasp prosthesis is not so stressful for the patient, as there is no need to grind teeth.

The dentist takes impressions and certain tests that are intended to accurately represent the patient’s situation for the dental technician.

Costs for those with statutory health insurance: around 600 euros per jaw.

The attachment prosthesis

With this variant, it gives existing teeth the border that gap’s crowns.

The hold of the dentures is guaranteed by a so-called attachment.  One attachment is on the prosthesis and one on the corresponding crowns. When you insert the denture, it pushes both parts into one another, which provides a secure hold.

Costs for legally insured patients: around 1,800 – 2,000 euros if 3 teeth are crowned as an example.

Variant 2: the full denture

If you no longer have your own teeth, a full denture will replace them.

This comprises a plastic base that is gum-colored and sits on the jaw and the artificial teeth.  The hold in the upper jaw is usually particularly good, as there is a suction effect with the help of the saliva. You can think of it as two glass plates that are pressed together with water. The surrounding muscles also hold the dentures in place. The hold in the lower jaw is often poor because there is no suction and the broken jawbone does not offer enough surface.

It is important that the prosthesis is “relined” from time to time.  Since the jaw changes a little over time, the fit of the prosthesis deteriorates. Therefore, the base must be supplemented in such a way that it fits the jaw again.

Costs for those with statutory health insurance: around 600 euros per jaw.

Variant 3: The implant-supported prosthesis

They mostly make implants of titanium and replace the tooth root.  They are inserted directly into the bone.

Healing takes 3 – 6 months because that is how long the bone needs to form a stable bond with the artificial tooth root. Then the dentures can be manufactured, and the implants loaded.

In the toothless jaw, for example, they can use implants for a more secure fit. If we plan a partial denture, implants can improve the situation and, for example, ensure that forces are distributed more evenly. They can then design the removable dental prosthesis like a telescopic prosthesis, for example, with the implants receiving a corresponding telescopic crown.

Costs for those with statutory health insurance: around 1,500 euros in addition per implant.

Conclusion: Costs and wearing comfort determine the choice of removable dentures

If they can implement a fixed restoration, there are many ways to replace missing teeth functionally and aesthetically. There are some points here, such as manufacturing and cost outlay or wearing comfort, which play an important role in the decision. Starting with the simple clasp prosthesis to high-quality implant work – let your dentist advise you and decide together which variant is best for you.

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