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Removable dentures: fixation, options & costs

If some teeth are missing and the dentition has large gaps, then often only removable dentures in the form of a removable prosthesis come into question. But what types of replacements are there and what are their advantages and disadvantages? Find out here about the various options, how they look and what costs you have to reckon with.

Table of Contents

Removable Dentures - What is it?

Removable dentures consist of rows of artificial teeth that replace the missing teeth.The base that rests on the mucous membrane and the artificial teeth are mostly made of plastic. The replacement is anchored to your own natural teeth in various ways.

The dentures can be removed by you for cleaning and care and then reinserted. It completes the dentition, so you can chew and speak better again. In addition, the chewing force is evenly distributed, which protects the natural teeth, the jaw and the temporomandibular joints.

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Removable dentures - the different variants

There are different versions of removable dentures. Whether partial dentures, model cast dentures or implant-supported dentures: all options have their advantages and disadvantages.

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. There are also a few other treatments that are used less often.

The telescopic prosthesis

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

The removable partial denture is anchored with the help of so-called telescopic crowns. These crowns are placed on specific teeth in the mouth and are not removable. The telescopic prosthesis has corresponding recesses that fit perfectly with these crowns. As a result, the dentures can be pushed onto these crowns and then sit relatively firmly.

advantages disadvantage
High wearing comfort thanks to good hold Higher manufacturing costs because some teeth have to be crowned with telescopic crowns
Easy cleaning of the denture and your own teeth Higher cost
If a tooth is lost, the dentures can easily be reworked Loss of substance as natural teeth have to be ground for crowns
Aesthetic as no brackets are visible

Costs for patients with statutory health insurance: 2,000 - 2,500 eurosif, for example, 3 teeth have to be crowned. However, prices vary depending on the treatment situation.

The model cast prosthesis

The dentures are attached to certain healthy teeth by metal brackets. The clamps snap into place when inserted, which means that the prosthesis then holds. The manufacture of 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.

Advantages:Disadvantage:
Easy to manufactureLess comfort
Easy cleaning of the prosthesisBrackets partially visible
CheapClamp teeth are stressed

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

The attachment prosthesis

With this variant, existing teeth that border the gaps are given crowns.

The restoration is held in place by what is known as an attachment. One attachment is located on the prosthesis and one on the corresponding crowns. When the dentures are now inserted, both parts are pushed into one another, which provides a secure hold.

Advantages:Disadvantage:
Good fit of the prosthesisNo extension possible
Easy cleaning of the prosthesisGreat effort
No visible retaining elementsHigh costs
Handling not that easy

Costs for patients with statutory health insurance: around 1,800 - 2,000 eurosif 3 teeth are crowned as an example.

Variant 2: the full denture

If you no longer have your own teeth, they will be replaced by a full denture.

This consists of a plastic base that is gum-colored and sits on the jaw as well as the artificial teeth. The hold in the upper jaw is usually very good, as there is suction with the help of the saliva. You can think of it as holding two glass plates pressed together with water. The surrounding muscles also keep the dentures in place. The hold in the lower jaw is often worse 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 somewhat over time, the fit of the prosthesis deteriorates. Therefore, the base must be supplemented again in such a way that it fits the jaw again.

Advantages:Disadvantage:
Easy to manufactureSometimes bad fit in the lower jaw
Easy cleaning of the prosthesisPainful pressure points when the fit is poor
Cheap

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

Variant 3: The implant-supported prosthesis

Implants are mostly made 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 can be loaded.

In the toothless jaw, for example, implants can be used for a more secure fit. If a partial denture is planned, implants can improve the situation and, for example, ensure that forces are distributed more evenly. The removable dental prosthesis can then be designed, for example, like a telescopic prosthesis, with the implants receiving a corresponding telescopic crown.

Advantages:Disadvantage:
High wearing comfortHigh expenditure of time due to the healing phase
Firm fitHigh manufacturing costs (surgical intervention)
Loading of the bone from the implant prevents bone lossHigh costs

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 a fixed restoration can no longer be implemented, there are numerous possibilities to replace missing teeth functionally and aesthetically. There are some points here, such as the 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.