Complete absence of teeth

Terenyi Dental Clinic

Providing care for complete tooth loss requires exceptional attention, expertise, and advanced technologies. To create long-lasting and fixed restorations that most closely resemble natural teeth, it is essential to act with great care from the planning phase onward. This includes selecting the appropriate implantation method, determining the necessity or avoidance of potential bone grafting, and deciding on the materials and technologies to be used for the restoration.

In recent years, I have placed significant focus and emphasis on studying and managing these complex and highly challenging cases. My goal is to offer you the most comfortable and durable solutions possible, restoring the joy of chewing, a pleasant aesthetic appearance, and a sense of comfort in everyday life.

When treating tooth loss, the choice of the implantation procedure I apply depends on factors such as the presence of bone loss, the need for bone grafting, or whether an alternative solution, such as the All-on-4 technique, can avoid it. You can find more detailed information about these procedures in the Implantation section of our website.

After
Before

The choice of dental restoration for complete tooth loss is determined by the implantation technique used.

Once the implants have healed, the process of creating the restoration begins with impressions and bite registration, typically completed in two appointments.

In an ideal case scenario, a fixed temporary bridge can be created at the time of implant placement, ensuring that the healing period is both comfortable and aesthetically pleasing.

Terenyi Dental Clinic

Facial Arch Registration
A specialized bite registration procedure that precisely determines the spatial relationship of the patient’s occlusal plane and the rotational axis of the temporomandibular joint.
This is necessary when:
  • Multiple teeth are prepared simultaneously.

  • There is a temporomandibular joint problem, such as clicking, deep bite, etc., for which a dental restoration is being created.

  • In cases of complete tooth loss in one or both jaws, restoration is absolutely required.

In the case of an edentulous jaw, the natural arch of the former teeth must be precisely reconstructed in three dimensions, almost from scratch. (When projected, this arch forms a spherical surface, making its accurate determination far from simple.)
Traditional metal-ceramic and metal-free restorations were primarily developed for natural teeth. The structural, functional, and sometimes aesthetic considerations of implant-supported restorations differ from these.

Terenyi Dental Clinic

Hybrid bridges
Hybrid bridges consist of a special framework (monolithic zirconia/zirconium/titanium/PEEK) screwed onto implants, onto which 12-14 zirconia crowns are individually bonded. Based on our current knowledge, this solution combines all the advantages we consider essential. Our jawbones are flexible and undergo minimal deformation during speech and chewing. In traditional metal-ceramic and veneered zirconia restorations, this often led to cracks or chipping of the ceramic veneer. However, since the crowns of hybrid bridges can move minimally relative to each other, this unpleasant effect can be avoided. The precisely manufactured framework is created using CAD-CAM technology, ensuring an exceptionally accurate fit. The individually bonded zirconia crowns provide a beautiful, natural appearance to the wearer.

Terenyi Dental Clinic

In the case of tooth loss, dental restorations on implants can be made from the following materials:
  • Screw-Retained Metal-Ceramic Restorations

  • Screw-Retained Zirconium/Monolithic Zirconium Restorations

In both cases, the implant head is typically integrated into the bridge restoration, forming a single unit. In certain cases, it may be advisable or necessary to use a separate multi-unit abutment, which acts as an intermediary element between the implant and the bridge restoration.

Terenyi Dental Clinic

Malo Titanium-Acrylic Full Arch Bridge

The dental restoration named after Dr. Paulo Malo is specifically designed for cases treated with the All-on-4 procedure. We find the use of acrylic-veneered full arch bridges justified in situations where the opposing jaw carries a zirconium restoration. The specially reinforced acrylic used in this case offers beautiful aesthetics and, due to its flexibility, ensures comfortable wear alongside a zirconium antagonist. These restorations are crafted on a CAD-CAM-designed titanium framework.

Implant-Supported Restorations
I aim to use screw-retained methods for implant-supported restorations in all cases, as I consider cemented bridges undesirable due to the adverse effects of cement.

We have a solution for everything!

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We have a solution for everything!

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