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Tooth replacement (prosthetics)

If teeth are lost or damaged to such an extent that it is no longer possible to fill them, then in most cases, tooth replacement treatment will be necessary.

And not merely because gaps in teeth look and feel unpleasant: It might be more difficult to talk and chew. Insufficient chewing pressure might lead to the jaw retracting, which can cause teeth to move and jaw problems.

With the exception of the posterior region of the mouth, it is always necessary to close gaps in teeth.

Modern dentistry offers a range of opportunities when it comes to replacing teeth; however, the quality objective is always the same: Great dental prostheses should be able to do the same as the patient's own teeth could do before, and should ideally not even be recognisableas false teeth. High-quality dental prosthesis should:

  • restore normal tooth function (biting, chewing, eating)
  • look good (natural aesthetics that integrate harmoniously)  
  • be biocompatible (no allergies or changes in taste)
  • be resilient and durable (high-quality materials and stable constructions)
  • precise and fit accurately (nothing should be wobbling)
  • be easy to clean (using the usual aids)
  • not impede speech function 

To guarantee this high degree of quality, we manufacture all types of dentures in our in-house, professionally run dental laboratory.The dental technicians and dentists at our practice form a well-oiled team that is well deserving of our patients' trust. Our dental technicians support our patients in selecting the colour and shape of the tooth, while also helping them try new dentures. With our lab service, we can also offer optimisations and repairs quickly, and deliver on time.

If tooth replacement is necessary, there are usually several options available for each situation. Our dentists will provide you with extensive advice. Then, the patient can decide, together with their dentist, between the different denture shapes, designs, and materials.

Below you will find a concise overview of the most important types of tooth replacement:

Crowns and bridges

If teeth are badly damaged or missing, the dentist can replace these with crowns and bridges; the end result looks "as good as new". Crowns and bridges can restore the natural shape, function, and aesthetics of a tooth perfectly, while also being durable and allowing for a completely natural feeling.

Crowns are used in particular if larger parts of a tooth are damaged and fillings do not have a safe grip. A crown does not fully replace the damaged tooth, but rather coats it, restoring its natural shape, function, and look. Crowning a tooth serves to protect it and retain it for as long as possible.

Patients can choose between various types of crowns – ranging from blended-metal crowns through to all-ceramic crowns. All-ceramic crowns, made from biocompatible zirconium, do not only offer the best visual result dentistry can offer at the moment, but they also resemble natural teeth to the greatest possible extent in many regards.

Bridges are used primarily if one or more teeth are missing completely. In order to remain stable, a bridge needs supporting abutments. If a tooth is missing, for example, then the neighbouring tooth can serve this stabilising function. These are crowned and hold the pontic tooth in place between them (the "bridge") at the same time. Usually, the bridge construction is cemented firmly onto the supporting teeth. Implants can also serve as abutments. There is another variety which is also mounted firmly, but can still be removed (so-called telescopic attachments). These are often used for very wide bridges that rest on further intermediate abutments.

Partial- and full dentures

Partial dentures are used if extensive tooth loss or dental damage can no longer be fixed with crowns and bridges – e.g. because there are not enough abutment possibilities left for bridges. Partial dentures can be removed by the carrier as needed, and are therefore considered so-called "removable dentures". They restore the form, function, and look of the teeth, allowing the person to chew and laugh again without effort.

Full dentures (or complete prostheses) is the best solution if a completely toothless jaw needs care and an implant-oriented solution to create abutments is not an option. The denture is supported predominantly by denture borders, which are specially moulded by the dentist: The borders seal the mucosa precisely, which results in negative pressure when inserting the denture. In addition, the salivary film creates adhesive forces between the mucous membrane and the denture. After an initial settling-in period, the muscles surrounding the mouth also play an important role in holding the denture in place: You will learn to hold the denture tight and stabilise it with your muscles, without even noticing that you are doing so. If a full denture functions properly, it will restore the appearance, chewing and talking capabilities of the mouth to full capacity.  

Tooth implants

See Implantology.