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| The
telescopic crown also known as the german crown was developed in
Germany and is even now one of the most used dental procedure by us to
construct removable dentures. Note that 99 % of the telescopic dentures
worldwide are being made in Germany. |
Some
of the benefits of telescopic overdentures include the prevention
of bone loss, esthetic appeal, improved speech (when compared with
other types of dentures), proper jaw alignment, and improved chewing
efficiency. These overdenture systems can last a lifetime and increase
chewing power by up to 300%.
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Periodontitis
is a dreaded oral disease that causes the gums to recede, loosening
teeth, and eventually leading to loss of teeth. Telescopic denture is a
old german technique to restore new teeth for the periodontal patients.
It consists of a double crown system know as "the telescopic", the
procedure involves fitting the remaining natural teeth with inner
metal crowns, followed by outer crowns as part of an over denture that
can be removed by the patient. This technique ensures that bite
stress is distributed evenly between each tooth, protecting the
remaining teeth and the end result looks quite natural. This technique
is also suitable for cases of missing back molars
.
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Low Follow-Up Costs
The
probability that a patient will have kept all teeth 10 years after
insertion is 80%. The telescope double crown system is a versatile
and successful way of achieving the long-term restoration of the
partially edentulous jaw. Insertion and removal of the denture and
routine oral hygiene are easy to perform, even for patients with
limited manual dexterity. As a full-arch reconstruction, the telescope
crown denture system enables easy adjustment, modification, and
relining with low follow-up costs.
The Telescopic Bridge
The
telescopic bridge or prosthesis is a dual supported ( teeth and gums )
removable coverage restoration designed to fit over your natural teeth
and gum areas in order to replace missing teeth.
The telescopic denture consists of:
-
the primary crowns or caps made of precious or non precious dental alloys that will be cemented on the prepped teeth
-
the
secondary crowns (dental alloys) that are slipping over the primary
caps and thus maintaining the bridge through sliding friction tight on
the teeth. The secondary crowns have facings (surfaces) of acrylic
resin with ceramic fillers
-
(the
framework made out of non precious dental alloy is embedded in plastic
(acrylic resin) and supports the acrylic teeth which will replace the
own missing teeth. )
The
best results are obtained when primary and secondary crowns are made of
gold or precious dental alloys. If you would like to save, our
specialised partner dental lab can also use non precious alloys for the
primary and secondary crowns.
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Pros 
-
replace missing teeth
-
improved appearance compared to clasp retained partial dentures
-
improve chewing ability
-
provides support to the periodontal structures
-
cheaper than comparable implant sustained bridges
-
can be easily
fabricated and applied when there are at least two or three teeth left
on the jaw. Ideally it would be fitted on 4 to 6 teeth to achieve best
results
-
does not need clasps or other visible metallic parts on the front teeth
-
the bridge sits tight although it can be easily removed in order to practice the regular mouth hygiene
-
prevents future
tooth loss. The secondary framework can prevent further tooth loss
especially when teeth are weakened by periodontitis (gum disease)
-
the dual support on
teeth and gums will distribute the chewing forces equally onto the
teeth and gums thus preventing the teeth from overloading. Overloading
is one of the most frequent cause of tooth loss
-
long life
expectancy. Our experience shows that telescopic dentures inserted on 4
and more teeth have an average lifespan of at least 10 years and often
more than that
-
best suited for
patients who do not want or can not have implant surgery due to
anxiety, high costs for implants, diseases or medication that will not
allow the insertion of implants
-
maintenance, repairs and extension can be easily done at low costs In
case of tooth loss there is no need to make a new bridge. The framework
can be easily extended within minutes. A fixed bridge or an implant
supported bridge would need an expensive complete renewal.
Cons
- under
circumstances healthy teeth need to be prepped thus resulting in loss
of healthy tooth substance. This may apply for fixed bridges as well
- it needs to be taken out of the mouth at least once a day for cleaning. This may be bothersome for some patients
wearing a removable denture might be hard to overcome psychologically, giving a sense of ageing
- the telescopic crowns are slightly larger (bulky) than similar ceramic crowns
- requires more appointments for completion when compared to fixed bridges
- it
often requires a palatine (roof of the mouth) metal bow in the upper
jaw that spans across the palate, and in the lower jaw a thin metal bow
behind the front teeth
- at
the beginning it may look expensive than comparable fixed bridges. But
seen on a long term basis due to low follow-up costs it is definitely
the best choice
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