A partial or full denture replaces lost teeth – but the removable dentures rarely fit well and are attached to the teeth with large, visible brackets. Telescopic Prosthesis is the solution.
What is a telescopic prosthesis?
A telescopic prosthesis is a partial or full prosthesis to replace missing teeth. The conventional removable prosthesis is attached to the remaining teeth with brackets or, with the full denture, is held on the toothless jaw by suction. The hold of these dentures is often a problem, or patients do not want to wear metal brackets visible in their mouth like dentures.
The telescopic prosthesis is completely different. They anchor it as a partial denture, invisible from the outside, to the remaining teeth or, with an edentulous jaw, to implants.
How is a telescopic prosthesis constructed?
This dental prosthesis comprises a fixed part, which is anchored to the remaining teeth, and a removable part, the actual dental prosthesis. Therefore, these partial dentures are also called combined dentures.
A telescopic crown, the primary crown, also known as the internal telescope, is cemented onto your teeth. This crown is not removable and does not look like a tooth, but more like a cone. It is used to ensure that the secondary crown or the outer telescope can be precisely attached and that it creates a firm hold through friction. The outer crowns look like real teeth and are integrated into the row of teeth of the removable denture. Once inserted, the telescopic prosthesis can be removed again and again.
They make the telescopic crowns of metal, the prosthesis plastic. The outer telescopes can be veneered tooth-colored so they are the same color as the plastic replacement teeth.
Who is telescopic denture suitable for?
Many patients want the comfort and aesthetics of fixed dentures for their removable dentures. But if too many teeth are missing and implants are out of the question, often only removable dentures are possible. Telescopic prostheses are an excellent way to enable invisible, fixed dentures to be worn and to save the price of implants. However, the prerequisite is that suitable abutment teeth are still available. For toothless jaws, we can use only removable dentures without implants.
The advantages and disadvantages briefly
Even if these dentures are a great option for patients: Removable dentures in the form of telescopic dentures, like all dentures, have advantages and disadvantages.
The advantages of the telescopic prosthesis
- It requires no clamps to hold the prosthesis – significantly improved aesthetics
- particularly good hold thanks to telescopes, comparable to fixed dentures
- cheaper than implants, they can save the expensive treatment
- easy to clean like removable dentures
- Better, more even loading of the remaining teeth than with clasp dentures
- versatile: possible in the upper and lower jaw
The disadvantages of this denture
- So-called unmasking effect: after removing the prosthesis, metallic telescopic stumps become visible
- Price is high: significantly more expensive than normal removable dentures, albeit cheaper than implants
- Grinding of healthy teeth is necessary for the telescopic crowns
The costs – and what it covers?
If you are interested in a telescopic prosthesis, your dentist can advise you on it. Before the treatment, your dentist will prepare a treatment and cost plan for the dentures and the costs of the treatment.
How will the cost of your dentures be affected?
The costs for these dentures differ. They depend on:
- the material used
- the number of telescopic crowns required
- the fee for the dentist.
For telescopic crowns made of gold, for example, the costs are relatively high compared to non-precious metals. Since the production of the crowns is expensive because it is much more complex than the rest of the dental prosthesis, it requires more telescopes, thus the more expensive your dentures will be. The manufacturing costs for removable dentures in the upper jaw are usually somewhat higher than those in the lower jaw.
The costs for a fitting with such a prosthesis are around €3,000 to €10,000.
What costs does the health insurance company cover?
Statutory health insurances subsidize these dentures under certain conditions. Normally, the standard care is a removable denture with metal brackets, which are taken over by the fixed allowance. You also receive this fixed allowance for partial dentures with telescopes. Your contribution is then of course significantly higher than with a clasp prosthesis.
If you only have three remaining teeth or only the canine teeth are left and the molars are missing, the telescopic prosthesis can also be a health insurance benefit and receive higher subsidies. A well-run bonus booklet is also worthwhile here. Let us advise you on this.
With private and supplementary dental insurance, the cost coverage depends on the respective tariff.