Mobile prosthetic (dentures)

Complete (total) dentures

They are made especially for the upper and lower jaw in situations where all natural teeth are lost in one of the jaws.

Complete dentures consist of a base on which artificial teeth are placed. The base is made of pink acrylic that matches the color of the surrounding mucosa, thus supporting the overall aesthetic impression.

The purpose of the base is to distribute the chewing forces that occur during chewing onto the mucosa and bone base.

Since the mucosa itself cannot withstand heavy loads, it is important that the base is as wide as possible so that chewing forces are distributed over the largest possible surface area, thus achieving a safer and more comfortable bite.

The upper base covers the entire palate, and the lower base has a horseshoe shape, leaving free space for the tongue.

In order for the prosthesis to be comfortable to wear and provide proper function, it is necessary that the prosthesis rests well on its bed.

When chewing, the prosthesis must remain stationary, and the socket must be of a favorable shape with sufficient remaining bone.

In the event that there has been uneven resorption (retraction) of the ridge after tooth loss, the ridge on which the denture is placed may become uneven and humpbacked, preventing the denture from fitting properly.

By surgically modeling the ridge, the excess bone is removed and a bed is obtained, which is necessary for an adequate fit of the prosthesis.

A complete denture should be removed at least once a day, washed, and disinfected with appropriate products, and it is recommended to wash it after every meal and before going to bed.

Partial dentures:

They are made when there is a certain number of natural teeth in the jaw that allow the prosthesis to be held in place.

The remaining teeth must be repaired so that a partial denture can be attached to them, making it more stable during chewing and speaking, and therefore more comfortable to wear.

Unlike a complete denture, where the chewing force is on the mucosa, a partial denture will transfer the load to the other teeth, thus relieving the mucosa. The advantage of a partial denture is that it can withstand greater chewing forces without irritating the mucosa.

A partial denture can be attached to the remaining teeth with clasps or be part of a combined restoration. In the case where the denture is part of a combined restoration, it is attached to the remaining teeth with hidden attachments, which improves the aesthetics of the restoration.

A combined prosthesis is a prosthetic device that has a fixed and a mobile part.

The fixed part is a bridge that is cemented to the teeth and has clasps in its construction to which the mobile part (partial denture) is attached according to the male and female principle.

Dentures are recommended for people who have lost one, more, or all of their natural teeth and want to restore bite functionality, a beautiful smile, and normal speech function. Candidates include:

1. People who have lost all their teeth (edentulism)

In this case, a complete (total) denture is recommended, which replaces the entire dental row in one or both jaws.

2. People who have lost multiple teeth but still have a few natural teeth

Partial dentures are ideal for patients who still have healthy teeth that can be used as abutments to stabilize the denture.

3. People who cannot or do not want to have dental implants

Prostheses are a great option for those for whom implant procedures are not recommended due to health reasons (e.g. osteoporosis, diabetes, radiation therapy) or personal preference.

4. Temporary solution after tooth extraction

Temporary dentures (so-called immediate dentures) are often made immediately after tooth extraction, so that the patient immediately has functional teeth until the gums heal and final prosthetic rehabilitation occurs.

5. People with severely damaged teeth that cannot be saved

In cases of advanced caries, periodontitis, or trauma, when teeth can no longer be saved, dentures become a functional and aesthetic solution.

6. People who want affordable and fast prosthetic rehabilitation

Dentures are a more affordable option than fixed solutions (bridges and implants), and modern manufacturing allows for high aesthetics and comfort of wear.

Preparation for the installation of dentures is crucial for the successful course and quality of the final prosthetic work. Here’s what it includes:

First examination and diagnosis

Before making the prosthesis, the dentist will perform a detailed examination of the oral cavity, assess the condition of the remaining teeth and gums and, if necessary, request X-rays (orthopan, CBCT). The goal is to get a clear insight into your oral situation.

Oral cavity rehabilitation

If there is inflammation, caries, periodontal disease or other problems, they need to be treated first. A healthy oral cavity is the basis for good denture acceptance and longevity.

Extraction of remaining teeth (if necessary)

In the event that it is necessary to extract the remaining teeth, this is usually done before the prosthesis is made. After the extraction, there is a period of gum healing, which can last from several weeks to several months, depending on the patient’s condition.

Taking fingerprints

Once your mouth is ready, precise impressions of your upper and lower jaws are taken. These impressions are used to create a custom denture that will fit your mouth perfectly.

Trial stages of production

After the first models are made, a trial fitting of the wax and teeth in the mouth can be performed to check aesthetics, function, and comfort, and make corrections if necessary.

Information and education

The patient is introduced to the process of wearing dentures, proper care and hygiene, and potential challenges in the first period of wearing them.

The duration from the start of production to the final fixation of the prosthesis is between 7-10 days.

On the first visit, anatomical impressions are taken, with the help of which anatomical models are cast and individual spoons are made.

The next visit is reserved for taking a functional impression, which is taken with an individual tray. The purpose of this impression is to register all future functional movements, so that when the prosthesis is finally placed, it will be stable during speaking and eating.

The third step is determining the interjaw relationships. Interjaw relationships are determined using bite templates. These are acrylic plates on which there are wax walls, with the help of which we determine the vertical and horizontal dimensions of interjaw relationships.

In the wax walls, the dental technician places the teeth that are tried out in order to check the functionality and aesthetics of the prosthesis itself.

The last step is the delivery of the prosthesis, and if necessary, the seat is corrected so that it does not chafe, and finally the bite is adjusted.

There is no concrete recovery, that is, the client leaves the surgery with a prosthesis and can continue with everyday life normally.

In the first few days, until the person adapts to the new prosthesis, there is a possibility that the prosthesis may irritate the mucous membrane. For this reason, another control is arranged in 7-14 days, which is mandatory in order to additionally grind and adjust the prosthesis in problematic places.

Removable dentures must be cleaned with a separate toothbrush with much harder bristles.

Regular check-ups at the dentist are very important in order to monitor the condition of the prosthetic work, the surrounding teeth and the associated dental structures.

Controls allow dentists to assess whether there are potential problems and to perform professional cleaning of hard and soft dental deposits. If they are not removed in time, they can cause a number of negative effects such as gingivitis (inflammation of the gums) and receding gums.

Adequate oral hygiene combined with an examination at the dentist every 6 months will ensure the longevity of your prosthetic work!

In cooperation with banks, Bagatin Polyclinic provides the option of paying in installments, as well as interest-free payments up to a certain number of installments.

You can check more about payment methods and treatment prices in the current price list of the Bagatin Polyclinic:

Find out the price of the treatment