What is telescopic tooth replacement?

If only a few healthy teeth are left, the telescopic tooth replacement is often recommended. This one is aesthetic and flexible – but not very cheap.

When many teeth are missing

A telescopic tooth replacement, also called telescopic bridge or telescopic prosthesis, is used to replace missing teeth. It is used when only a few of your own but healthy teeth are present or if the existing teeth are too unstable for bridges – even then, the telescopic prosthesis is optimally suited.

The two-cup principle

The telescopic tooth set follows the principle of two plastic cups. If you put them together, hold them without another mechanical attachment. Only when you pull them apart, they can be detached from each other.

When dentures these two plastic cups are two crowns. The inner crown, also called primary telescope, is firmly cemented on the stump of a pillar tooth. Matching the inner crown, an outer crown, called Secondary Telescope, is made. This is with the removable partial denture, which fills the many tooth gaps, soldered or glued. The outer crown sucks due to static friction on the inner crown. The saliva ensures even more adhesion. Each pillar tooth is crowned according to this principle.

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In some cases, partial denture and outer crowns are cast in one piece, making them less susceptible to fracture.

Due to the high cost, gold is rarely used as a material. Common are so-called NEM alloys. NEM stands for “non-noble metals”. These crowns are silver, whereas crowns of zirconia are white. The latter are also more expensive.

Passport accuracy must be right

The treatment requires several, approximately four treatment appointments. The abutment teeth are first ground off and the inner crowns are attached. This is done under local anesthesia, so that the patient feels no pain. This is followed by the adaptation of the outer crowns. At this the partial denture is attached or outer crowns and partial denture are made of a casting. Last is the try-in. The try-in is very important, because a high accuracy of fit is indispensable for telescopic tooth replacement.

Brush or twice a day

A telescopic prosthesis is removable and therefore easy to care for. It is recommended to clean the denture with the toothbrush twice a day. This happens in the best case over a water-filled washbasin. So there is no danger that the prosthesis will be damaged if it falls down.

Elegant and expandable, but relatively expensive or

Probably the biggest advantage of the telescopic tooth replacement is the good extensibility. If another natural tooth needs to be removed, the prosthesis can be easily extended. Another important advantage is the elegant appearance: there are no anchoring aids or braces as seen with other types of prostheses. In addition, the dentures are removable and therefore very easy to clean. Nevertheless, the attachment guarantees a safe food and pleasant speech.

The biggest disadvantage is the price, a telescopic tooth set is relatively expensive. To ensure that the prosthesis does not look clumsy and acts unnaturally large, also the tooth stumps must be sharpened before the Verkronung, which requires great care.

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