Prothesis

Clinical Situation :

Completely toothless arcade.


Therapeutic options

Conventional complete prosthesis

Advantages :

  • Traditional treatment
  • Cost
  • Forecastable
  • Replaces absent teeth

Disadvantages :

Osseous reabsorbtion, Interchangeablity, decreased masticatory effectiveness, difficult Elocution, Problem of perception of the taste, Longevity, Covering of the palate, Problems of nausea reflex, Multiple improvements, Risks of fractures of the prosthesis, Instability, insufficient Retention


Assistant prosthesis supra-implantation :

Advantages :

Interchangeability, easy Maintenance, Control of the profile and the forms of contours, Stability improved, Better retention, Better masticatory effectiveness, Better proprioception, Better accepted psychologically, Dismountable, Elocution similar to that obtained with a prosthesis conventional jawbone supplements

Disadvantages

Risks of breaking of the screws, Risks of loosening of the screws, Risks of fractures of the prosthesis, Length of the treatment, Necessity of two surgical interventions, Obligation of a rigorous maintenance (elements of retention and prosthesis), final improvements


Unit prosthesis implanto-range :

Advantages

No preparation of the teeth, Absence of secondary decays, osseous, Dismountable Stability

Disadvantages

Sometimes difficult elocution, Cost, Risks of loosening of the screws, Length of the treatment, Risks of fractures of the prosthetic teeth but easy repair

Clinical Situation :

Esthetic problems due to the absent teeth, functional Problems due to the absent tooth, Risks of egression (vertical displacement) of the antagonistic teeth, Risks of version (horizontal displacement) of the adjacent teeth, Risks of decay and paradental disorders.


Therapeutic options

Stuck bridge

Advantages :

Dental preparations at minimum, fixed Prosthesis, short Treatment, reasonable Cost

Disadvantages :

Risks of separation, Risks of postoperative sensitivity, Risks of fracture of the restoration, “delicate” Technique, Perenniality, Esthetics (visibility of metal by transparency), Problem of soft fabrics subjacent with the intermediary, difficult daily Cleaning


Conventional bridge

Advantages :

Foreseeable result, traditional Treatment, Fixation

Disadvantages :

Need for dilapidating often healthy teeth, Risks of decays, parodontaux Risks, endodontical Risks, Risks of dissolution of cement, Risks of fracture of the restoration, random daily Maintenance, esthetic Risks


Assistant partial prosthesis

Advantages

Cost, traditional Treatment

Disadvantages

Interchangeability, Risks of decays, parodontaux Risks, Difficulty for patients of adapting, Esthetic average, Volume, difficult Elocution, difficult Chewing


Unit prosthesis implanto-range

Advantages

No preparation of the teeth, Absence of secondary decays, osseous, Dismountable Stabilization

Disadvantages

Cost, Risks of loosening of the screw, Risks of failure of the implant, Length of the treatment, Need for surgery

Clinical Situation :

Functional problems due to the absence of teeth, Risks of égression (vertical displacement) of the opposed teeth, Absence of posterior chock being able to affect muscular and articular balances, Risk of decays and parodontal lesions


Therapeutic options

Partial assistant prosthesis

Advantages

Traditional treatment, Low costs for the patient

Disadvantages

Interchangeability, Volume, Difficulty of elocution, Loss of the function, Difficulty of chewing, osseous Resorbtion continue under the prosthesis, Inconfortable


Conventional bridge (presence of posterior teeth pillars)

Advantages

Traditional treatment, Forecastability

Disadvantages

Risk decays, parodontaux risks, endodontical risks, Risksof fractures of the restoration, Risks of dissolution of cement, Necessity for dilapidating often healthy teeth


Bridge implanto-carried (certainly the best solution)

Advantages

Fix, Dismantable, Maintenance of the bone, No preparation of the adjacent teeth, No risk of decays, Improvement of the function

Disadvantages

Risks of loosening of the screws, Risks of fractures of the screws, Cost, Possibility of failure of the implants, Length of the treatment, Risks of fractures of the restoration