It is considered necessary to use a dental prosthesis as soon as the first definitive dental pieces are lost. The most important thing is to return the chewing function to the patient, which facilitates the swallowing of the food bolus.
In addition to being an aesthetic factor of great value, they restore quality of life to the patient, avoid the deterioration of the remaining structures and influence the patient's self-esteem.. It is also important to recover phonation and soft tissue support. They can be of different types; fixed, removable and mixed.
Fixed prostheses are those in which it is cemented or screwed on the dental structure or an implant. They have as main advantage that they do not need to be removed from the mouth, giving function and aesthetics to the patient. They have the size, shape and color of natural teeth. The patient quickly gets used to them, they require the same care as natural teeth. They can be metal-ceramic or metal-free, zirconium.
The removable prostheses are those that the patient has to remove from the mouth after each meal for proper hygiene of the same and their own teeth. They can be metallic with resin or only with resin, partial or complete.
- Partial prostheses have retainers, usually metallic, that prevent the movement of the same during chewing, gesticulation or speech.
- Complete prostheses are those in which the patient lost all his pieces of one or both arches. They are a real challenge, since they often present retention problems, which requires the use of powders or adhesive creams by the patient. Depending on the remaining support structures, they have greater or lesser support. Depending on the design, they can be extremely aesthetic, since one can reproduce one's own dentition very naturally.
The mixed prostheses are those that have a fixed part cemented on the remaining teeth and another removable, usually metallic, joined together by a retention system called atache. Also called combined prostheses, are indicated when the patient requests a treatment with a lot of aesthetics, since it does not allow to see retainers in the form of hooks, generally visible when the patient smiles.