Dental Prosthesis

Replacing lost teeth is very important for esthetics, phonation, and function.

Replacing a large number of teeth with a fixed replacement is not possible. When all the teeth are missing, total dentures are necessary, whereas a partial loss of teeth requires partial dentures. Dentures are mobile teeth prostheses, which means that the patient places and removes them by him or herself.

Some indications for treatment:

• Partial loss of teeth
• Complete loss of teeth

Dentures are made when there are too few teeth left to make a quality fixed prosthesis or other complex situations. Dentures allow chewing, speech and help retain the natural physiognomy of the face with dentate jaws. From a clinical point of view, it is important that masticatory forces are transmitted evenly, so as to prevent or slow down the alveolar ridge loss. Premature bone loss in the alveolar ridge makes it virtually impossible to create any kind of prosthesis.

It is therefore important that dentures are made as soon as possible after the loss of teeth. Dentures can either be completely acrylic or made from a combination of alloys, popularly called Wironit. Dentures for completely toothless jaws are made of acrylic.

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When teeth are missing, the remaining teeth usually change positions, bend, rotate or “grow into” tooth gaps in the opposite jaw. These changes can lead to significant soft tissue damage, i.e. gum disease, which causes further tooth loss among the teeth that remain. Masticatory pressure (the force that is transmitted to a row of teeth), is transmitted to all of the adjacent teeth, and, since there is a tooth missing, they have nothing to “lean on”. Eventually, the pressure becomes too strong for one or both of the teeth next to the lost tooth, and the neighboring tooth or both teeth are lost.