Dentures – cost options at a glance

What does dentures cost?

According to the Federal Dentists Association, the German health insurance companies spent in 2015 more than 13 billion euros for the subsidization of dental treatments including dentures.

For the individual costs must be differentiated, since each denture depending on the amount and condition of the material, the existing teeth, depending on the patient (whether private or cash) differently expensive.

Crowns cost between 300, – and 1,000, – Euro, bridges between 1,200, – and 3,600, – Euro, prostheses 550, – to 2,000, – Euro and implants can be up to 5,000, – Euro expensive. These costs may be reimbursed in part from health insurance or dental insurance.

There are also differences depending on whether it is an incisor or a molar tooth. In addition, a distinction must be made between a standard care and the desired additional benefits.

Cost factors for the dentures

The costs are divided between the fee for the dentist, dental technology or dental laboratory and of course the materials. Here it is important to know that the dental laboratories are bound by two fee regulations: the Uniform Assessment Standard for Dental Services (BEMA) and the Fee Regulations for Dentists (GOZ).

The BEMA forms the basis for the billing of dental services of cash-desk patients and lists the treatments and costs, the statutory health insurance partially or completely take over.

If it concerns a customized and more complex treatment of the patient and thereby exceeds the budget of the statutory health insurance, the GOZ is used.

The GOZ is used for services that take place in private agreement with the patient. On the one hand in the billing of private patients as well as in cash patients who take more complex diagnostic and therapeutic procedures, which are not covered by the statutory health insurance.

For private services such as implants or all-ceramic crowns, the prices can be calculated by the dental laboratory itself and vary significantly depending on the practice. Here it is worth comparing. For implants, there is usually no subsidy from the health insurance. Generally, the cost of dental treatment is steadily increasing.

Costs for conventional dentures such as bridges or dentures are reimbursed to parts of the health insurance. This was not included in the following cost statement:

Cost overview dentures

description Total costs (dental fee + laboratory and material costs)
Crown
Metal crowns or full crowns with gold 600, – to 800, – Euro
Full-cast crowns (non-precious metal alloy, completely pure metal crowns) 300, – to 400, – Euro
faced crown 400, – to 900, – Euro
Ceramic single crown / zirconia crown 600, – to 1.000, – Euro
bridges
small dental bridge (a replaced tooth) 1.400, – to 2.100, – Euro
Anterior bridge 2,000, – to 3,600, – Euro
Posterior bridge 1.200, – to 2.800, – Euro
Implants (implant + crown abutment) 1.200, – to 5.000, – Euro
(but can be significantly more expensive depending on the dentist, dental laboratory, material and implant system)
prostheses
Full dentures for lower and upper jaw 1.200, – to 2.000, – Euro
Model casting prosthesis (clamp prosthesis) 600, – to 1.000, – Euro
Telescopic prosthesis (double crown prosthesis) 550, – to 900, – Euro
(but may vary depending on the number of teeth that will be crowned)

All prices are approximate values ​​including VAT and may of course vary.

What types of dentures are there?

Basically, a distinction is made between two categories of dentures: Fixed and removable dentures.

Fixed dentures

Fixed dentures are used for single teeth to small gaps. These include crowns, dental bridges and implants.

Crowns find their application either on teeth with a destroyed natural tooth crown, but still intact nerve of the tooth root or on root canal-treated teeth, if the nerve of the tooth root has been removed, ie the tooth is dead. Partial crowns find their application again, if only a part of the natural tooth crown is destroyed.

The crown, which can be made of different materials, is glued to the tooth and usually lasts up to 15 years, depending on the individual utilization of this.

Dental bridges are used in larger gaps and attached to the existing teeth to bridge the gap. It may happen that healthy teeth must be ground, but this is avoided if possible to preserve healthy teeth.

Implants are used when a stable jawbone is present or a gap needs to be bridged with two healthy teeth next to it. Otherwise, the jawbone can also be constructed artificially.

With implants, individual teeth are usually replaced, but they can also represent the basis for attaching bridges or prostheses, if there are no longer any teeth that could carry the said measures.

Whether a bridge or denture is needed is always dependent on the range of teeth that needs to be bridged and the patient’s dental findings.

Removable dentures

With removable dentures prostheses are meant, which are often taken out overnight and placed in a jar. Again, there are different possibilities.

Brace and model cast prostheses are attached to the patient’s residual teeth, and are made of plastic and metal staples for attachment.

A telescopic prosthesis also requires existing residual teeth (or implants). Here, the remaining teeth are provided with inner crowns, on which in turn outer crowns are attached. At this the prosthesis is attached, which ensures a secure fit.

If there are no more teeth in the dentition, patients need a full denture, usually made of plastic, which sits on the jaw by suction. Alternatively, implants can be placed in an edentulous denture, to which a prosthesis is attached.

How can I save on dentures?

Basically, every health insurance patient gets a subsidy from his health insurance, which reimburses 50 percent of the dentist’s costs. Another important part of the dental care is the bonus scheme.

If the bonus booklet is kept completely for at least 5 years, the patient receives an additional bonus of 20% of the fixed allowance (20% of 50%). This results in a total height of 60%.

If you have regular dental checks for at least 10 consecutive years, you will receive a bonus of an additional 30% of the fixed allowance (30% of 50%). The grant amounts to 65%.

As a private customer you first carry the full costs (dental, laboratory and material costs) and get these paid back by the private health insurance. This amount may vary depending on insurance, tariff, deposit and whether you are eligible.

As a general rule, non-bonus individuals should pay around 50% of the cost of medically necessary treatments themselves. However, private services and alloys with precious metals are not included.

The higher the quality of the material, the more costs have to be borne by the patient. As a rule, the health insurance companies only pay for the primary care, that is, the medically necessary. All additional costs, which serve only the aesthetic appearance, must be worn by the patient.

In addition, imported dentures, for example from China, can be significantly cheaper than a production in Germany.

In the case of complete edentulous dentures, prostheses can often be much cheaper than dental implants. Often there are large price differences between the services of the standard care and the dental technical extras, which you can not visually see in every case.

Therefore, you should always consider individually which form of treatment meets your aesthetic requirements.

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