Replacing missing teeth is an important step for your health, facial appearance, and life quality.
Patients are constantly dealing with the choice between fixed and removable dental prostheses, looking for the solution that best fits their individual needs, lifestyle, and budget. Each alternative has its own advantages and disadvantages, so it is important to understand their differences to make the best choice for yourself.
In this article, you will find detailed information for every solution, its benefits, and side effects to help you make the right choice.
What Are Fixed Prostheses?
Fixed prostheses are permanent solutions that are used to replace one or more missing teeth and are fixed firmly into the mouth. This category includes dental bridges, crowns, and dental implants, which are designed to stay put and cannot be removed by the patient.
These prostheses are created by advanced materials such as porcelain, zirconia, or a combination of metal and ceramics, offering strength, aesthetics, and long-term results. Fixed prostheses are suitable for patients who are looking for a close feeling to natural teeth and a hassle-free solution.
Usually, the placement of a fixed prosthesis requires professional care and a fitting period, but for many clients, the results are pleasant and stable for many years.
What Are Removable Prostheses?
Removable prostheses are devices that replace missing teeth but can be removed and placed by the patient at any time. These types of prostheses are usually used when several teeth are missing or when the mouth structure does not allow the placement of fixed prostheses.
These prostheses include total prostheses (when a full arch of teeth is missing) and partial dentures (when one or more teeth are missing). They can be designed with acrylics, metal, or different combinations of metals, offering the perfect balance between commodity and function.
This solution is easily accessible to many patients, especially those who are not suitable for a surgical procedure or are looking for a temporary solution. However, removable prostheses require a fitting period and careful maintenance.
Advantages Of Fixed Prostheses
One of the main advantages of a fixed prosthesis is the natural feeling it offers while eating, speaking, and smiling. Many patients state that they soon forget that the prostheses are there, since they become a natural part of their mouth.
Aesthetics is another strong value of fixed prostheses since they can be designed to fit the color and shape of natural teeth, giving their smile a more beautiful and natural look. This is especially important for those who don’t feel good about their appearance.
Fixed prostheses are stable, don’t move while eating or speaking, and don’t need to be removed or don’t require additional care besides brushing and flossing. This makes them a suitable solution if you have a busy and active lifestyle.
Additionally, fixed prostheses help maintain natural jawbone structure since the implants stimulate the bone in the same way as a natural tooth root. This prevents the deterioration of the bone and maintains facial structure for as long as possible.
Advantages Of Removable Prosthesis
Removable prostheses are a much more affordable solution for most patients, especially for those who have lost most of their teeth. The cost is significantly lower when compared to fixed prostheses, and the placement process is much easier.
Another advantage is their flexibility. Removable prosthesis can be removed while cleaning, sleeping, and in certain situations, which makes they easier to manage, especially for older people or those with health problems.
They can be crafted and fitted in a short amount of time, without the need for surgical intervention. For patients looking for temporary solutions or those not suitable for implants, removable prostheses are a great solution.
In cases when the needs and mouth structure change, removable prostheses can be fixed or replaced easily. This is a huge benefit for those dealing with constant oral health issues.
Issues And Risks Related To Each Solution
Fixed prostheses require a careful treatment plan and usually include surgical intervention, such as the placement of the implants. This will not be suitable for everyone, especially for those with severe health issues or those with significant jawbone loss.
Adjustments or repairs of fixed prostheses can be more complicated and require frequent dental visits. In rare cases, complications might occur, such as infection, issues with implant integration, or damage to the material.
Removable prosthesis, on the other hand, can be less stable, especially while eating or speaking. Initially, the patient will experience difficulties getting used to them, a strange feeling in the mouth, or irritation of soft tissues.
Prolonged use of removable prostheses can lead to further jawbone deterioration, affecting the prostheses’ stability. Besides these, there is a risk of losing the prosthesis or breaking if it is not properly maintained.
After Care And Maintenance
Maintaining your prostheses is the same as taking care of your natural teeth. Brushing teeth twice a day, using dental floss and regular dental visits are necessary for preventing plaque buildup and for protecting the gumline.
Hygiene is especially important for dental implants because infections will affect their longevity. Regular cleanings and visits are essential for maintaining the fixed prostheses’ function and aesthetics.
Removable prostheses should be carefully cleaned every day, using a special toothbrush and a recommended cleaning solution. They should be kept wet when not used to maintain function and shape.
It is important that the patient doesn’t use hot water or harsh chemical cleaning products since they can damage the prosthesis materials. Regular visits help identify any issues at the right time and extend the life of the device.
When Is Each Prosthesis Recommended?
Fixed prostheses are ideal for patients looking for maximum stability, improved aesthetics, and a feeling as close as possible to natural teeth. They are recommended for people with good facial structure, good overall health, and those willing to invest more in a long-term solution.
Patients who have lost several teeth or those who want to avoid removable prostheses are the best candidates for fixed prostheses. Additionally, individuals who require a commodity while eating, speaking, or social activities benefit more from this type of treatment.
Removable prostheses are more suitable for those who have lost more teeth, have a weak bone structure, or have health issues that eliminate the possibility of surgical intervention. This alternative is a good solution for patients looking for a temporary, flexible and more affordable solution.
Older patients or those who have a limited budget will find removable prostheses the best solution. Also, those who are experiencing frequent changes in their mouth structure due to bone loss will benefit from the flexibility of this option.
How To Make The Right Choice?
Making the right choice between removable and fixed prostheses should always be based on the dental specialist’s instructions. A detailed consultation, radiography, and examination of oral health are necessary steps to decide which is the safest choice for you.
Factors like overall health, bone structure, budget, and personal expectations for oral function and aesthetics should also be taken into account. Communicate openly with your dentist about your concerns, lifestyle, and priorities.
In many cases, a dentist might also recommend a combination of the two, known as implant-supported prostheses, that offer both stability and flexibility. The decision should be personalized for every patient, taking into account both the advantages and limitations of each solution.
Questions fréquemment posées
Which Is The Main Difference Between Fixed And Removable Prostheses?
Fixed prostheses stay fixed in the mouth permanently and cannot be removed by the patient, while removable prostheses can be easily removed and placed when necessary.
How Long Does The Adjustment Period Last With A New Prosthesis?
This is different for every patient, but it will usually take several days to weeks for them to fully get used to the new prostheses.
Will I Face Difficulties While Eating Or Speaking In The Beginning?
Initially, you may face small difficulties while eating and speaking, but these issues will go away on their own as soon as the mouth adjusts to the prostheses.
How Long Will Fixed And Removable Prostheses Last?
With the right maintenance, fixed prostheses will last for a very long time, while removable ones will need to be changed after 5-10 years.
How Often Should I Visit The Dentist For Professional Cleanings?
It is advised to visit the dentist every 6 months, since they can provide personalized recommendations according to your case.
Can I Sleep While Wearing A Removable Prosthesis?
It is not recommended to sleep with the removable denture on; you should remove it during the night to allow the soft tissues to recuperate.
Which Is The Best Material For Fixed Prostheses?
The most used materials are porcelain, zirconia, and metal ceramics, which are strong and resistant and offer a natural appearance.
Can I Get A Fixed Prosthesis If I Don’t Have Enough Jawbone?
When bone structure is not enough, additional procedures such a bone grafting might be recommended to make the placement of the fixed prosthesis possible.
How Much Does A Fixed And Removable Prosthesis Cost?
The cost of the prostheses will depend on the number of teeth treated, case complexity, and the clinic, but overall, fixed prostheses are more expensive than removable ones.
How Should I Clean And Take Care Of My Prosthesis?
Fixed prosthesis will be cleaned the same as natural teeth, while removable ones should be cleaned every day with a specific toothbrush and cleaning solution, keeping them wet when not used.
Will The Prosthesis Cause Irritation Or Allergic Reactions?
Initially, you might experience slight irritations, but if the problem occurs, you should contact your dentist. Allergic reactions are rare if the dental materials used are certified.
Will The Prosthesis Break Or Be Damaged?
Yes, as with any other device, the prostheses might be damaged if they fall or are used incorrectly, but in most cases, they can be easily repaired.
Will The Prosthesis Be Modified Or Repaired In Case A Problem Occurs?
Yes, if the prosthesis is damaged or doesn’t fit properly, the dentist will make the necessary adjustments and repairs.
Will My Smile Look Natural After Getting A Prosthesis?
Yes, with modern technology and high-quality materials, it is possible to achieve a natural and aesthetic look with both types of prostheses.
How Long Does It Take To Make And Fit A New Prosthesis?
Creating and fitting a new prosthesis will depend on the prosthesis type and complexity of the case, but it usually takes several days to weak for the procedure to be completed.
Consultation With A Specialist: The First Step Towards Making The Right Choice
A professional consultation is one of the most important steps before making the final decision for your prosthesis. During this visit, the specialist will make a thorough examination of oral health, discuss your goals, and suggest the most suitable solution based on your needs and opportunities.
Do not hesitate to ask the dentist about any detail that you might be interested in, pricing, guarantee, and long-term aftercare. An informed decision will help you feel safe and pleased with your new smile.
En conclusion
Choosing between fixed and removable prostheses is a process that requires information, consultation, and careful assessment of each alternative. Every patient has different needs and expectations, which is why it is important to work closely with the dentist to find the best solution for you.
Oral care, following professional instructions from your dentist and regular maintenance are the key to long term and pleasing results for a long time.
If you are considering replacing missing teeth, take your time to be informed and make this life-changing decision. Your smile deserves the best care and choice!
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