Removable partial dentures can be considered if the number of permanent teeth and their position offers no possibility for fixed dentures. In such cases, we use partial dentures with metal framework, whose stability is enhanced by the remaining teeth. This denture consists, with regard to its material, of metal or plastic (acrylic), which is why it bears the name metal scaffold dentures. The advantage of this denture is that it is designed less bulky, the size of the metal framework can be made graceful, so can also shorten the time of getting used to.
If the metal framework denture is connected by mechanical anchoring with the permanent teeth, then one speaks of combined dentures. With this method, the risk of metal shift is low and will increase considerably the the aesthetic aspect.
If the metal framework denture is connected by mechanical anchoring with the permanent teeth, then one speaks of combined dentures. With this method, the risk of matal shift is low but increases the aesthetic aspect. Telescopic crowns (double crowns) can also be used to support the fixation of removable dentures. One of the basic requirements for the production of this dental prothesis is that sufficient teeth must be present in the mouth, the condition which is suitable for this dental prothesis. It consists of two parts: From the primary part (inner telescope) – this fits directly on the already ground tooth and is fixed with cement. The secondary part (external telescope) is located in the removable denture and is the exact negative copy of the primary part. In this dentures, the completely precise fit is extremely important.
Of course, the patient must not remain toothless in the interphase – in the time between the grinding of the tooth and the final dentures. During this time we provide the tooth with protection, with the so-called temporary dentures, whose material consists of plastic.
Implant-supported bridges are similar to the normal bridge, but they are not supported or held by one’s own teeth, but by implants. In most cases, an implant is placed for each lost tooth, and then a bridge is placed on top instead of individual crowns. Both for partially missing teeth or total edentulism such a bridge can be used if the patient has enough bone structure and wants a fixed denture.
