Dentures / Bridgework

The loss of one or more teeth is always a painful experience. Although a temporary solution can usually be prepared straight away. A fast and definitive solution is not usually available. Every prosthetic restoration is individual and must be tailored to each patient. The optimal solution requires an extraordinary level of experience in planning and execution.  

We differentiate between the following types of Prothetics:
a) Fixed bridgework with crowns, partial crowns and bridges
b) Partly removable bridges (implant- and tooth-borne)
c) Removable bridgework with complete (full) dentures and partial dentures and combined bridgework with a fixed cemented part and a removable part

a) Fixed bridgework (crowns, partial crowns and bridges)
Fixed bridgework comes closest to the natural situation of your teeth. It guarantees you normal chewing and speaking functions. Today’s fixed bridgework can be attached to teeth or implants. Fixed crowns and bridgework are made from zirconium oxide, aluminium oxide, titanium and high-gold-content alloys, usually coated with porcelain. These materials are completely safe and cannot be compared with cheap alloys used abroad.

Full ceramic bridge

After gentle anaesthesia, the teeth are carefully polished to give them the correct shape and to make room for the ceramic layer. Using a 3D laser scan or a conventional impression, a model is then prepared for the dental technician who creates the crown or bridge. These crowns or bridges can be made from full ceramic, zirconium oxide, titanium or gold as required.

Fixed bridgework is attached to the tooth or teeth concerned using a special cement while checking for absolute accuracy of fit and correct colour. Long-term success is achieved if these abutment teeth are healthy or are well treated and remain healthy. The life expectancy of such work is only as long as that of the patient’s own tooth or the underlying restoration. Fixed bridgework requires more care compared to your own teeth rather than less.

Crowns
Crowns
Crowns

Adhesive bridges (Maryland Bridges)
If the adjacent teeth are healthy and have no caries and an implant is not possible or not desired, this option is the best solution for closing up gaps in dentition. We try to work minimal invasive and remove only the tooth structure as needed, in order to replace the missing tooth.

The adhesive bridge meets this criterion. Small furrows and grooves are ground into the tooth surface to improve the adhesion of the adhesive bridge to the tooth. The adhesive bridge is a cost-effective solution that can last for many years if well cared for.

b) Partly removable bridges (implant- or tooth-borne)
Partly removable solutions enable the dentist (not the patient) to remove, repair and hygienically maintain the prosthetic bridge. They are usually fixed to implants or teeth using screws and are almost as comfortable as fixed solutions or natural teeth. They help to achieve the highest aesthetic quality. Not only teeth but lost gums can be restored.

c) Removable restorations (with or without attachments)
Although fixed bridgework such as crowns and bridges certainly earn more points in terms of wearing comfort, removable bridgework such as full and partial dentures do have some advantages compared to fixed bridgework.

One advantage is that they can be replaced or repaired if necessary. A fixed crown or bridge cannot be removed from the mouth for repairs in case of a fracture in the porcelain, for example, without damaging it. Dentures on the other hand can simply be removed and sent to the dental technician for repairs.

Another advantage of removable bridgework compared to fixed bridgework is their ease of maintenance and cleaning. Of course, it is easier to clean dentures outside the mouth using a denture brush than to keep the spaces between your teeth clean using special dental floss and special brushes.

Full dentures
The making of a Full dentures is nowadays the exception. Today patients preferre to try to preserve their teeth. In the age of implants, more and more people want an easy to maintain, natural bite until an advanced age.

Despite the drawbacks of restricted biting, loss of taste (coverage of gums in the case of upper jaw dentures), possible pressure points and the need for lower jaw fillings, patients still manage with full dentures.

The patient must be aware that he has to relearn how to eat. The grinding movements change rather to a chopping bite. Upper jaw dentures hold firm in the palate using a vacuum. Well-fitted upper dentures no longer need adhesive creams. Full lower dentures on the other hand cannot be held by a vacuum because the tongue prevents this and it must remain mobile.

Lower dentures are held in place by optimal fit to the jaw structure. The muscle tone of the patient learns to stabilise the dentures with time. This can be done with the use of the cheek-tongue musculature, for example.

We recommend that if there is sufficient bone substance to insert 2 to 4 implants and to work with the stud-retainer technique or locators.

Full dentures
Full dentures
Full dentures
Full dentures
Full dentures
Full dentures
Full upper dentures

Cast Restoration
A cast restoration is a simple and appropriate solution. It is fixed to the teeth with metal clasps and is considered a ‘social solution’, can be easily added to and is easy to clean.

The cast restoration can replace teeth on both side of a jaw at the same time. This results in a certain amount of coverage of the palate in order to join both sides. The disadvantage of this system is that the clasps teeth are at risk with a high load if relining is neglected (filling of hollow spaces that develop over time between the dentures and the alveolar ridge).

Cast model
Cast model
Cast model
Cast model
Cast model
Cast model

Telescopic bridges
Although a telescopic bridge is a removable restoration, it comes closest to fixed bridgework in terms of comfort. It is worn day and night. The construction is borne by the abutment teeth. The remaining teeth are protected. Even patients with periodontitis and battered tooth support structures benefit from the gentle fixing of these prostheses.

Telescopic prostheses can often be formed in the shape of a horseshoe to free the palate which increases the wearing comfort. The telescopic bridge is easy to clean and can also be easily repaired.

Telescopic bridges
Telescopic bridges
Telescopic bridges
Telescopic bridges

Combination, removable prostheses
For those people who have some firm and intact teeth, aesthetic and almost undetectable hybrid prostheses can be used with one part of the restoration cemented in the mouth (crowns and bridges) and the other part being a removable prosthesis. These restorations are also screwed onto teeth and implants to enable later repairs. They are therefore partly removable. They do offer the same wearing comfort as fixed crowns and bridges.

All restorations are adjusted so that there is as little coverage of the palate as necessary to preserve the sense of taste and not affect speech.

We guarantee our work for 10 years. This includes telescopic bridges, stud-retainer prostheses and bar restorations. Please discuss this with us.

Combination restoration
Combination restoration

Stud-retainer prosthesis (locators)
The stud retainer is one option for fixing a prosthesis or a partial prosthesis to teeth or implants. The cavity is mounted in the prosthesis and the counterpart is mounted on the tooth or the implant.

The system works like the stud buttons on clothing. If the prosthesis is pressed onto the stud retainer, the button clicks on and holds the prosthesis securely.

Stud-retainer prosthesis
Stud-retainer prosthesis
Stud-retainer prosthesis
Stud-retainer prosthesis
Stud-retainer prosthesis
Stud-retainer prosthesis

Bar Retainer prosthesis
The bar retainer prosthesis can be placed on implants and teeth. The abutment teeth are splinted together in order to fix the bars onto them that hold the prosthesis with clasps that are built into the prosthesis.

The wearing comfort is outstanding for this solution because the four retention points in the upper jaw leave the palate free. The bar prosthesis is gentle to the remaining teeth and the mucous membranes and distributes the chewing pressure optimally over the teeth.

Gums and teeth are replaced, giving the patient a highly aesthetic result.

Our bar restorations are all milled from a single piece. This eliminates the need to solder parts of the bar together with toxic substances.

Bar prosthesis
Bar prosthesis
Bar prosthesis
Bar prosthesis
Bar prosthesis
Bar prosthesis
Bar prosthesis
Bar prosthesis