Partial removable denture

Combined prostheses

Many people struggle with partial or complete tooth loss and its consequences. This includes the loss of chewing function, which often causes stomach issues, as well as speech difficulties and aesthetic problems. In fact, tooth loss can even play a role in triggering snoring.

Many people break into a sweat at the thought of removable prostheses, simply because they are fed by outdated stories and are not well-informed about modern dental options. Some associate it with a denture floating in water on a nightstand, which is incorrect. Not only is this unnecessary, but it is also harmful to the prosthesis! It only needs to be removed during the cleaning process, and then it can go right back into the mouth!

Do you belong to the above group?

You no longer have to talk with your mouth covered in shame or live on yogurt just because you've lost a few teeth!

We would like to introduce and briefly present today’s advanced dental options. We do this without claiming to cover everything, as each case is unique. We are happy to assist you in person, where we can select the most suitable option for you from the various possibilities!

But let's see, what is a combined dental prosthesis?

If at least one natural tooth remains in the mouth, we can create a so-called combined restoration. It is called combined because it includes both a fixed part (which cannot be removed) and a removable part.

The fixed part remains permanently in the mouth, which provides excellent comfort, as it stabilizes and secures the removable part.

The removable part base plate (the part that comes into contact with the mucous membrane-bone foundation, encompassing the entire prosthesis) synthetic gum material (the pink part, which replaces the atrophied mucosa and supports the teeth) artificial teeth and anchoring devices (it stabilizes the restoration against displacing forces).

The base plate can be:

  • metal
  • plastic

The anchoring device Based on the type, we distinguish the following types of restorations.

Clasp removable restoration

The remaining teeth are surrounded by metal cast clasps, which help stabilize the removable part. If necessary, the natural teeth can be covered with crowns (clasp-retaining crowns).

Which cases can it be used?

  • It can be considered even in cases of missing 1-2 teeth, as well as in any case where a bridge could be made (but this solution is more favorable for professional or financial reasons).
  • In cases of more extensive tooth loss

How is it made?

  1. It requires multiple visits.
  2. During the first visit, impressions are taken.
  3. A second impression is usually taken using a precision impression material and a custom tray. We record the bite. We select the tooth color. We document your preferences.
  4. During the third visit, we try in the trial denture. At this stage, the teeth are only set in wax, so we can make adjustments to the tooth alignment, color, etc., based on your preferences.
  5. During the fourth visit, we hand over the completed prosthesis. We will teach you how to use and clean it properly.
  6. A fifth appointment may be necessary, during which we adjust or loosen the clasp or polish the pink part (as it may press on or irritate the gum).
AdvantagesDisadvantages
Often, it can be solved without the need to grind down the natural tooth.In many cases, the clasp is visible, which is not ideal.
It is one of the most cost-effective solutions.It does not provide the same stability as the slide or telescopic restoration.

Its alternatives may include:

  • In certain cases, a bridge may be an alternative.
  • Slide removable restoration
  • Telescopic removable restoration
  • or possibly implants

Slide removable restoration

A bridge made for the remaining front teeth has a "rail" placed on each side, along which the removable part "slides" into place. Due to their parallelism, this provides perfect stability while remaining invisible, as it is a so-called hidden anchoring device.

Which cases can it be used?

In cases of single or bilateral end-tooth loss (but with at least 3 remaining front teeth – the bridge is made for these, with the slide mechanism on both sides).

How is it made?

  1. It requires multiple visits.
  2. During the first appointment, we prepare the existing teeth for the bridge by grinding them down. Impressions are taken, and the tooth color is selected.
  3. During the second appointment, we record the bite and try in the framework of the combined restoration.
  4. During the third appointment, we try in the trial denture. At this stage, the teeth are set in wax, allowing us to correct the bite and tooth alignment if necessary.
  5. During the fourth visit, we hand over the completed prosthesis. We will teach you how to use and clean it properly.
  6. A fifth appointment may be necessary, during which we polish the pink part (as it may press on or irritate the gum).
AdvantagesDisadvantages
Due to the parallelism of the slides, it provides perfect stability.Grinding down the remaining teeth is necessary.
Perfect aesthetics (Since the anchoring device is located inside, it is not visible. It is impossible to notice where the fixed porcelain bridge ends and where the removable plastic part begins.)It is a more expensive solution compared to the clasp restoration.
The size of the base plate can be significantly reduced, making it more comfortable and easier to get used to.The slide contains a small plastic insert that needs to be replaced every 2-3 years due to wear (this is only a cost of a few thousand forints).

Alternatives:

If the tooth is damaged to such an extent that it cannot be restored with a crown, it needs to be removed. In this case, we can choose from the following options:

  • Bridge
  • Implant (artificial root)
  • Removable prosthesis (in cases of multiple missing teeth)

The treatment includes:

  • Specialist examination
  • If necessary, CT or panoramic X-ray analysis
  • Creating a treatment plan
  • Local anesthesia
  • The preparation of the tooth/teeth for metal-ceramic crowns
  • Sulcus (the area between the tooth and the gum) dilation for impression taking
  • Impression taking for the dental laboratory.
  • Photodocumentation creation
  • Sending the impression and photodocumentation to the dental laboratory
  • Creation of a porcelain-fused-to-metal crown by the dental laboratory.
  • Trial fitting of a porcelain-fused-to-metal crown.
  • Permanent bonding of a porcelain-fused-to-metal crown.

Bridge

A fixed restoration used for replacing missing tooth/teeth. It is anchored on the teeth bordering the gap, effectively bridging and replacing the missing tooth. A special form of this is the inlay-retained bridge, where the neighboring teeth do not need to be shaved all around, but only prepared for an inlay.

The material can be:

  • Traditional metal-ceramic
  • Gold-ceramic
  • Zirconium
  • Metal-free porcelain (only shorter bridges can be made from it)

In which cases is it applicable/recommended?

To replace missing teeth (this restores the original chewing function, aesthetics, and speech – especially for front teeth).

How is it made?

Since a bridge can be imagined as a combination of multiple crowns, its creation process is the same as that of a crown. However, in this case, at least two teeth need to be filed down. See the process for crowns!

AdvantagesDisadvantages
Fixed, removable only by the dentist (provides a sense of security, cannot move while eating, unlike removable prostheses).It is made by filing down the adjacent teeth.
Beautiful aesthetics, providing a natural appearance.Their lifespan is long, although finite. Traditional metal-ceramic bridges generally need to be replaced every 10-15 years. For those based on noble metals (gold) or zirconium frameworks, a longer lifespan can be expected. Of course, this also depends on oral hygiene and the specific case. (With good oral hygiene, they last longer.)
It is made quickly (usually within 5 working days).Food can slightly get under the bridge, requiring special cleaning.
It prevents the shifting of adjacent and opposing teeth (aiming to "fill" the gap).

Alternatives:

  • Clasp restoration
  • Telescopic restoration
  • Implants

Telescopic removable restoration

This type of restoration is possible with a minimum of 1 and a maximum of 3-4 remaining teeth. Crowns (primary crowns) are made for the remaining teeth, and their exact counterparts are placed into the removable part (secondary crowns). Since the primary and secondary metal crowns fit perfectly together (with friction between them), we can expect excellent stability. Furthermore, once the removable part is placed in the mouth, everything remains your secret, as only a naturally looking smile remains visible!

Which cases can it be used?

A minimum of 1 and a maximum of 3-4 teeth are required.

How is it made?

  1. It requires multiple visits.
  2. During the first appointment, we grind down the existing teeth for the primary crowns. Impressions are taken, and the tooth color is selected. We discuss and note your preferences (regarding the size, position, and color of the teeth).
  3. During the second appointment, we record the bite and try in the framework of the combined restoration with the crowns.
  4. During the third appointment, we try in the trial denture. At this stage, the teeth are set in wax, allowing us to adjust the bite, tooth alignment, and color if necessary.
  5. During the fourth visit, we hand over the completed prosthesis. We will teach you how to use and clean it properly.
  6. A fifth appointment may be necessary, during which we polish the pink part (as it may press on or irritate the gum).
AdvantagesDisadvantages
StableThe base plate is larger in extent compared to the sliding restoration (it may take longer to get used to).
Aesthetic (it looks exactly like a full set of teeth, with the crowns remaining hidden)
It is correctable and replaceable; if any tooth is lost later, a new plastic tooth can be added to the restoration, and there is no need to create an entirely new one.

Bar-retained removable restoration

It can be used in special cases, mostly in restorations combined with implants. The implanted implants can be connected with a rigid bar-like structure (bar), the counterpart of which is located on the inner side of the prosthesis. These fit perfectly together, ensuring the stability of the restoration.

They have created such a smile on my face that now I can speak to people confidently and sincerely. As for the treatments, I was always welcomed with warmth, and they were always understanding whenever I had any issues or concerns.

István Horváth, Szeged

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It turned out that my wisdom tooth was in the wrong position and would shift my upper teeth, so I booked an appointment for wisdom tooth extraction. Since they removed two of my wisdom teeth, I was nervous about the procedure, but when I arrived, my dentist reassured me and explained that the whole process wouldn’t be painful, which turned out to be true.

Réka Papos, Szeged

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Several years ago, I started visiting Dr. Andrea Pölös, and every time I experienced that she fully took care of me, ensuring that I felt comfortable and went through the dental treatments pain-free. During this time, she was on vacation a few times, and that's when I met Dr. Balázs Dudás, who also dedicated himself fully to making sure I left the clinic satisfied.

Adrián Egyed, Szeged

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Sitting in the dental chair, I was initially terrified, but Dr. Balázs Károly Barna, the dentist, calmed me down with his patience and attentiveness. I am grateful that we found a solution to my long-standing problem, and from now on, I always come to the dentist with a smile and a good mood.

Regina Gitta Hadaruga, Mórahalom

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Whenever I had any problem, I could call Dr. Andrea Pölös at any time. A few months ago, I had my upper teeth treated, and since then, my life has completely changed. I've opened up, I dare to smile, and I warmly recommend this dental clinic to everyone.

Márta Csorba, Szeged

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From the very first visit, I experienced the friendly and youthful atmosphere that the clinic embodies, and the compassionate treatment I received at that time set the tone for my attitude toward the clinic and future treatments. Since then, surprisingly to me, I happily return for check-ups and treatments because I know that my doctors are working hard and want me, as a language teacher, to stand in front of my students with a confident smile.

Lídia Sipos Pintér, Szeged

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For a long time, I was afraid to smile because the gap between my teeth was very large. I felt like everyone was looking at that big "summer break" on my tooth. But I got fed up! I visited PrimaDenta Dentistry exclusively. I had heard very good reviews about it. Indeed, everyone is very friendly, easy to find, and reasonably priced! I quickly made it from Algyőr. My dental restoration has been working very well since then, and I’m completely satisfied with it. Now, I smile all the time, and my smile reaches from ear to ear.

Zsófia Hakucsák, Algyő

From the very first email exchange – which I received a response to within half an hour – I found the doctor to be very likable. My husband and I have been visiting her for 3 years, and we always receive the utmost care, attention, and kindness. My first treatment was a tartar removal, and after that, we proceeded step by step. The necessary root canal treatment was done, and it was completely painless. I also had a crown replacement, dental fillings, and tooth extraction, and I can confidently say that she is a PROFESSIONAL, yes, with all capital letters! Her assistants are also kind, and the clinic's equipment reflects the doctor's high standards and approach to her work.

Adrienn Megyesiné Vigh, Szeged

I wholeheartedly recommend the doctor to everyone! She is incredibly kind, and she explains every treatment process in detail and with precision. For anyone who is afraid of dental treatments, this is the place where they will definitely not feel fear, as it provides a calm, fear-free, and pleasant environment for healing. I am happy to have found this doctor.

Krisztina Puskás, Szeged

I have visited PrimaDenta Dentistry multiple times, and I have had nothing but positive experiences. The doctor is very thorough, kind, and attentive both to her work and her patients. During the treatments, the procedures were always painless. In fact, I felt comfortable and even enjoyed the treatments due to the pain-free experience, the doctor's attentiveness, and the pleasant environment. I highly recommend it to everyone!

Andrea Botez, Szeged

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At our dental clinic, you can easily schedule an appointment by phone, in person, or even online, and we are flexible when it comes to arranging the time.

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1. Data verification

2. We identify the problem through a conversation

3. Appointment booking with the appropriate specialist

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Dr. Novák Blanka PRimadenta Szeged

Everything goes easier with a beautiful smile.

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Place of practice:

24 Algyői Road, Szeged Route planning

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Entrance from Hegyközség Street

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