Fixed solutions, whether for small or large gaps or for edentulous jaws
A fixed dental restoration in the form of crowns or bridges can be inserted using dental implants to restore small or large tooth gaps or when all posterior teeth are missing. The implant restoration is either cemented on to abutments that are inserted into the implants or screwed into the implants.
We will show you the different fixed and removable restorations available with examples of different situations. Conditionally removable bridge constructions, that is to say screw-retained solutions, can increase quality of life for patients with low bone density. These restorations can be removed by your dentist during check-up appointments, for example to clean them. Most of these restorations are also possible for the upper jaw. However, due to the stability of the upper jawbone, more dental implants are needed for certain reconstructions than in the lower jaw.
Removable restoration for fully edentulous jaws
The stabilized restoration almost fully restores chewing and speech functions, as well as positively affecting esthetics. There are several options for anchoring the denture. Not all these solutions are suitable for maxillary restorations. Due to the softer bone structure in the upper jaw, more dental implants are needed to provide secure anchorage.
Inserting the denture on locators is very simple. These function like press buttons, which is why the denture clicks audibly on to the implants when inserted. Telescope abutments or bars work on the same mechanical principle as a telescopic rod: the parts grip one another using slight friction due to precision manufacturing. The adhesive force keeps the telescopic and bar dentures firmly in the mouth.
The COMFOUR® concept – the solution with the comfort factor
Teeth fulfil numerous functions. Primarily, they are responsible for breaking down food and contributing to language formation. They also preserve the jawbone. If a tooth is missing, an implant can replace the tooth root. If a whole row of teeth is missing, there is no chewing pressure applied to the jaw and the jawbone gradually degenerates. The denture no longer sits correctly, which has a negative effect on eating and speaking. For cases such as these, there is a scientifically based treatment concept to stabilize dentures.
The COMFOUR® concept provides a real improvement in the quality of life of an edentulous jaw. Even with advanced bone loss, modern imaging procedures and digital options mean that dental implants can be planned virtually in the correct position. Another advantage of this concept is that you leave the practice on the day of the surgery with fixed teeth because your temporary denture can be manufactured before the surgical procedure.
Soft tissue treatment – the solution for receding gums
Regular check-ups at the dentist and brushing your teeth correctly are extremely important for healthy gums. If the gums have receded or the tooth neck is exposed, dental treatment may be needed to protect the periodontium and maintain an esthetic appearance. The soft tissue necessary for treating receding gums can be collected from your own tissue, which is taken from the palate of your mouth. This requires a surgical procedure, however, and may cause pain during the healing process.
We are referring to a dermal matrix, a biomaterial that is derived from porcine tissue in a complex and strictly controlled process. The matrix is free of donor cells, closely resembles skin, and encourages the growth of soft tissue. The following examples show you what tissue treatment after gum recession or around dental implants can look like. Your dentist will discuss the detailed treatment concept and the most important rules that you have to follow after surgery with you during the course of your personal appointment.
Soft tissue augmentation after gum recession
Soft tissue thickening around implants
L-PRF autohemotherapy – faster healing from within
After the loss of a tooth, degeneration of the jawbone and soft tissue is a natural biological process. To close tooth gaps with an implant or a bridge, a stable foundation is nonetheless important so that the restoration can fulfill its function over the long term. Where needed, your dentist can make use of various biomaterials to achieve this.
Healing from within
To reduce the duration of the treatment and the healing process for such procedures, your dentist may offer you L‑PRF autohemotherapy. Leukocyte- and platelet-rich fibrin (L-PRF) is collected from your own blood for this therapy.
Leukocytes are white blood cells or defense cells that are part of your immune system and support your body during the healing process. Together with leukocytes that migrate to the wound, thrombocytes or platelets are blood cells that release many messenger substances such as growth factors. These drive subsequent wound-healing processes by activating the maturation and division of cells that form bone and connective tissue or supporting the formation of new blood vessels. In other words, as soon as the L-PRF is placed on a wound, proteins from your own body that encourage healing are released. This creates a stable cell structure that accelerates the healing process.
Depending on your mouth’s condition, your treating dentist can supplement L‑PRF autohemotherapy with various biomaterials, according to your specific needs.