Prosthetics
We are not yet able to regrow teeth, but there are various options for replacing missing teeth. Which of these is suitable for you and desired by you, we must decide through anamnesis, findings, diagnosis and planning.
Fixed dentures
The options for fixed dentures include crowns that replace individual teeth and bridges that span several teeth. Implants with crowns also offer a firmly anchored solution that is characterised by a natural feel, high chewing comfort and long durability.
Removable dentures
Removable dentures include partial dentures, which are attached with clasps, telescopes or attachments, as well as full dentures, which replace the entire dental arch. These solutions can be used flexibly and offer a practicable alternative, especially for large gaps between teeth.
Costs and assumption of costs
The cost of dentures can vary depending on the type and scope. Standard treatment is subsidised by health insurance companies, while similar and different treatments may require additional private co-payments. Fixed subsidies from health insurance companies cover part of the treatment costs, the rest is borne by the patient.
Service life
The durability of dentures depends on the solution chosen. Crowns and bridges usually last 10 to 15 years, implants even 15 to 20 years or longer. Partial dentures have a lifespan of 5 to 10 years, full dentures around 5 to 8 years.
Care and maintenance
Regular cleanings and professional check-ups are essential to ensure the longevity of dentures. Adjustments or repairs should be carried out as necessary, and regular relining is recommended for dentures to ensure an optimal fit.
What is a dental implant?
A dental implant is an artificial tooth root replacement that is anchored in the jawbone and serves as a stable base for dentures. It consists of three main components: the implant itself, which is usually made of titanium or ceramic and is inserted into the bone in the form of a screw, the abutment, which serves as a connecting piece, and the prosthesis, which is designed as a visible dental prosthesis in the form of a crown, bridge or denture made of tooth-coloured material.
Treatment begins with a detailed preliminary examination and planning. The implant is inserted into the jaw during an operation. After a healing phase of two to six months, during which the implant bonds firmly with the bone, it is exposed and the dental prosthesis is attached. The prerequisites for the success of an implant are sufficient bone, healthy gums, good oral hygiene and a completed jaw growth process.
Dental implants offer numerous advantages: they look natural, fit securely, protect the neighbouring teeth as no grinding is necessary, and are durable and comfortable. The cost of an implant is between 1,500 and 3,000 euros, depending on the size, plus 500 to 1,500 euros for a possible bone augmentation and 700 to 1,500 euros for the crown or prosthesis. Depending on the insurance company, these costs may be partially covered, but it is often a private service.
Aftercare includes regular check-ups, professional cleanings and thorough oral hygiene. In addition, risk factors such as smoking should be avoided to ensure the longevity of the implant. Problems should be treated immediately to ensure the long-term stability and functionality of the implant.
What are the advantages of dental implants?
Dental implants offer a number of advantages that set them apart from other forms of dentures. Functionally, they impress with their firm and secure fit, which enables natural chewing function, normal speech and full bite loading without the fear of slippage.
Implants also score highly in terms of aesthetics, as they are visually indistinguishable from real teeth. They help to maintain the facial profile and prevent bone loss, which benefits the appearance. In contrast to other forms of tooth replacement, implants do not require neighbouring teeth to be ground down. This means that the natural tooth structure remains untouched and the implants offer an independent, gentle solution.
In the long term, implants are characterised by their high durability and stability. They are considered a proven procedure with a good prognosis and a high success rate. Wearing comfort is another plus point: they do not feel like a foreign body, do not impair the sense of taste and are easy to clean. The familiar oral cavity also remains intact, which gives a feeling of security.
Implants also support the health of the entire dentition. They stabilise the jawbone, enable normal masticatory loading and promote good oral hygiene thanks to their ease of care. Overall, they have a positive effect on oral health and contribute to the preservation of the natural dentition.
How long will I have pain after the dental implant?
The pain after a dental implantation occurs in different phases and can usually be managed well. Immediately after the procedure, in the first one to three days, the pain is most severe. Typically, swelling, slight bleeding and feelings of pressure occur, but these can be well controlled with painkillers and cooling. This phase is part of the normal healing process.
During the first week, the pain gradually decreases, the swelling goes down and the sensitivity to pressure diminishes. Wound pain usually subsides and mouth opening improves noticeably. Nevertheless, slight swelling, minimal post-operative bleeding and a feeling of pressure when chewing may occur, which is considered normal.
However, warning signs such as increasing pain, severe swelling, persistent bleeding, fever or loosening of the implant require immediate consultation with the dentist.
To promote healing, the first few days after implantation should be accompanied by cooling, lying in a high position and physical rest. Thorough but careful oral hygiene is crucial to avoid infections. Rules of behaviour such as avoiding solid or spicy foods, smoking, alcohol and sport also contribute to successful healing.
After around seven to ten days, most patients are largely symptom-free and can return to their usual routine.
