Removable Prosthesis (total and partial prostheses):
Full and partial prosthesis are apparatus utilised to replace missing teeth and recover lost functions (chewing), as well as to correct phonetic issues (speech). Protheses are also used to enhance appearances, and to maintain and sustain the health of tissues and teeth remaining in the mouth. As the prosthesis is removable, and the patient can take it out and put it back in, the patient must exercise a stringent cleaning and care routine to maintain both oral health and the condition of the prothesis. As well, since teeth are the first link in the digestion system, a prothesis can be a crucial tool for the patient who wishes to maintain their oral and overall health.
1) Total prosthesis (complete plate): Used for patients who have lost all their teeth.
In recent years, alternatives to a total prosthesis have emerged: Implants placed into the jawbone, and a prosthesis prepared by obtaining support from these, offer patients the feeling of chewing with their own teeth; for this reason, patients may choose this option.
2) Partial (sectional) prosthesis: This prosthesis is attached to the tooth with metal pieces called crochets (hooks), made of a combination of metals and special acrylic.
3) Precision attachment prostheses (prosthesis with locking pins): This is often used for patients with partial tooth loss. Unlike the classic partial prosthesis, this type of prostheses does not contain crochets (hooks), frames and other metal bases, thus it is less obviously visible.
4) Removable implant-supported prosthesis: Similar to a total prosthesis installed on implants, this is fixed to patients with insufficient bone stock (support). The shape and degree of stability of the prosthesis will vary, depending on the number of implants used.
Maintenance and cleaning of removable total and partial prostheses:
Patients with a total or partial prosthesis are advised to follow these cleaning procedures:
Remove your prothesis and clean its inner and outer surfaces with a toothbrush and soap after every meal. Studies indicate that cleaning the prosthesis under running water with one’s hands is not effective in preventing the spread of microorganisms. Clean the inner and outer surfaces with a toothbrush and soap, without fail. If the patient experiences difficulty in holding a slippery prosthesis during the cleaning process, they may place the prosthesis on a soft cloth. This adjustment will prevent the prosthesis from being dropped and broken. Toothpaste can cause abrasion to the surface of the prosthesis, thus favourable conditions for microorganisms to adhere to the surface. If the prothesis is abraded, the patient should seek help from their dentist. Do not use non-specific cleaning agents, such as bleach, detergents, etc. for cleaning prosthesis. These agents not only damage the structure of the prosthesis but are also extremely dangerous to human health. You may carefully use the tablets and solutions produced specifically for cleaning the prosthesis, in accordance with the instructions of the manufacturing company. Hygiene of the inner mouth tissues on which the prosthesis is placed is also crucial. To avoid placing a clean prothesis into an unclean environment, clean the toothless area in your mouth with a soft toothbrush or gauze patch after removing and cleaning the prosthesis; if there are existing teeth, use a toothbrush and toothpaste to clean them. Cleaning the crochets that ensure attachment of the partial prosthesis to the remaining natural teeth is also important: If the food residues in or around the inner surfaces of the crochets are not properly and thoroughly removed properly, they will damage the teeth. The crochets must be cleaned after each meal without fail. If removing the prothesis for sleeping or other reasons, keep it in a cup filled with water.
Do not perform, or let others perform, any operation on your prosthesis, such as grinding or additional repairs, outside your dentist’s supervision. If there is an issue with your prosthesis, consult with your dentist immediately. Visit your dentist regularly every six months for check-ups. These check-ups will prevent problems that can arise in the future.
Remember that your prosthesis has a limited lifespan and must be replaced every two to five years. Otherwise, the adaptation of the prosthesis on newly formed tissues will degrade and usage will become more difficult.
Please consult your dentist for detailed information.