A telescope prosthesis, also known as an implant-supported telescopic denture or implant-retained overdenture, is a type of dental prosthesis used to replace one or more missing teeth. It typically consists of two parts: an external prosthetic tooth (or teeth) that is visible when the patient is wearing the prosthesis, and an internal prosthetic component (called a telescope) that is anchored to one or more dental implants that have been placed in the patient’s jawbone. The internal component sits inside the external component, and they are connected via a locking mechanism. The implant support gives the patient more retention and stability compared to traditional overdentures that use ball and attachment systems.
2. How is a telescope prosthesis placed?
A telescope prosthesis is typically placed after one or more dental implants have been placed in the patient’s jawbone. The internal component of the prosthesis is then placed over the implant(s) and connected to the external component via a locking mechanism. The entire procedure is usually performed by a dental specialist and may require multiple appointments.
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The main benefits of a telescope prosthesis are improved retention and stability compared to traditional overdentures, as well as a more natural appearance. Additionally, because the prosthesis is anchored to dental implants, it helps to preserve the jawbone, which can prevent further tooth loss and the deterioration of the patient’s facial structure.
A telescope prosthesis may be a good option for patients who are missing one or more teeth and have enough healthy jawbone to support dental implants. However, a thorough evaluation by a dental specialist is necessary to determine whether a telescope prosthesis is the best option for a particular patient.
Caring for a telescope prosthesis involves maintaining good oral hygiene, including brushing and flossing regularly, and visiting a dentist or dental specialist for regular checkups and cleanings. It is also important to follow the instructions provided by the dental specialist regarding the care and maintenance of the prosthesis, including cleaning and lubrication of the connecting mechanism.
Yes, there are different types of telescope prosthesis. The main types are:
Single Tooth Implant-supported telescope: as the name implies, this type of telescope denture is to replace a single missing tooth, typically the tooth have to have a good quality of jawbone and have good prognosis for implant success.
Multiple Tooth Implant-supported telescope: This type of telescope denture is to replace multiple missing teeth and rely on the support of multiple implant, typically the jawbone should have enough quality and quantity for implant placement and the teeth missing should be in a single arch.
Full Arch Implant-supported telescope: This type of telescope denture is to replace a full arch of missing teeth and rely on the support of several implant , typically the jawbone should have enough quality and quantity for implant placement and the teeth missing should be in a full arch.
Hybrid Implant-Supported telescope: This type is a combination of implant-supported telescope and traditional denture, typically it has a metal framework that connects several implant together and the denture sits on top of the metal structure. it gives the patient more stability and retention than traditional denture but less than full arch implant-supported telescope.
Overdenture Implant-Supported telescope: This type is typically used to retain a conventional denture with the use of locator attachments or ball attachments on the implant.
It’s important to note that each type of telescope prosthesis has its own specific indication and contraindication depending on the patient’s oral and general health, jaw bone quality and quantity, and remaining teeth. a thorough evaluation by a dental specialist is necessary to determine whether a telescope prosthesis is the best option for a particular patient, and which type would be the most suitable.
The telescope prosthesis treatment process typically involves several stages, including consultation, planning, surgery, and follow-up care.
Consultation: The patient will have a consultation with a dental specialist, such as a periodontist or oral surgeon, who will evaluate the patient’s oral and general health, remaining teeth, and jawbone quality and quantity. The dental specialist will also discuss the patient’s goals and expectations for the treatment.
Planning: The dental specialist will then use diagnostic tools, such as X-rays and impressions of the patient’s jaw, to plan the placement of the dental implants and the design of the prosthesis.
Surgery: The patient will then undergo a surgical procedure to place the dental implants in the jawbone. Depending on the patient’s case, this may involve one or multiple stages of surgery. After the implants are placed, they need time to integrate with the jaw bone and typically will wait between 3-6 months.
Follow-up care: After the surgical procedure, the patient will need to follow a period of healing and recovery. The dental specialist will monitor the patient’s progress and healing during regular follow-up appointments. After the healing period, the patient will return for the process of making and fitting the prosthesis.
Prosthesis making and fitting: After the healing period, the patient will return for the process of making and fitting the prosthesis. The dental specialist will take impressions of the patient’s jaw and use them to create a customized prosthesis. Once the prosthesis is ready, the patient will return for a fitting appointment, during which the prosthesis will be inserted and adjusted as needed to ensure a proper fit and function.
Maintenance: After the fitting appointment, the patient will need to follow a regular maintenance schedule that includes regular check-ups and cleanings, as well as proper oral hygiene practices at home. The dental specialist will provide the patient with instructions on how to care for the prosthesis to ensure its longevity and proper function. It’s important to keep in mind that the length of the treatment process and the number of appointments may vary depending on the patient’s individual case.
Advantages of a telescope prosthesis include:
Improved retention and stability: Because the prosthesis is anchored to dental implants, it is much more stable than traditional dentures and does not slip or move around in the mouth.
Improved function: A telescope prosthesis allows patients to bite and chew more effectively than traditional dentures, which can improve their ability to eat a wider range of foods and may also improve their speech.
Improved appearance: A telescope prosthesis can provide a more natural-looking smile and may help to preserve the patient’s facial structure by preventing further bone loss.
Durability: Telescope prosthesis are durable and can last for many years with proper care and maintenance.
Disadvantages of a telescope prosthesis include:
Cost: The cost of a telescope prosthesis can be quite high and may not be covered by insurance.
Complexity of the procedure: The placement of dental implants and the construction of the prosthesis are complex procedures that require a high degree of skill and experience.
Surgery required: The procedure requires surgery for placing the dental implant and it carries all the risks and complications that come with any surgical procedure.
Healing time: After the implant placement, there is a healing period of typically 3-6 months before the prosthesis can be fitted.
Maintenance: The prosthesis requires regular maintenance to ensure optimal function and longevity, this includes regular check-ups and cleanings, as well as proper oral hygiene practices at home.
It’s important to note that a patient’s individual case and oral condition will determine if the advantages outweigh the disadvantages, and therefore a thorough evaluation by a dental specialist is necessary to determine whether a telescope prosthesis is the best option.
The treatment of a telescope prosthesis can affect daily life in various ways, both positively and negatively.
Positively, a telescope prosthesis can improve the patient’s ability to eat a wider range of foods and may also improve their speech. It also provides a more natural-looking smile, which can boost the patient’s self-confidence and overall quality of life. It also allows them to bite and chew effectively, which can make eating more comfortable and enjoyable.
On the other hand, the treatment can also affect daily life negatively, at least during the procedure and healing period. The placement of dental implants and the construction of the prosthesis are complex procedures that require a high degree of skill and experience. After the surgery, patients typically need to take time to heal before the prosthesis can be fitted which may cause inconvenience. In addition, the patient may experience discomfort, pain, and swelling in the surgical area during the healing period. Additionally, once the prosthesis is fitted, the patient will need to follow a regular maintenance schedule that includes regular check-ups and cleanings, as well as proper oral hygiene practices at home.
It’s important for patients to consider the potential impact of the treatment on their daily life and understand the necessary commitment of time and care in order to make an informed decision. The dental professional can provide detailed information and advice on the expected impact of the treatment on a patient’s daily life and help them make a well-informed decision.
Dental care in Turkey is generally considered to be of good quality, and there are many qualified dentists and clinics in the country that provide a wide range of services, including dental prostheses. If you are looking for a dental prosthesis in Turkey, it would be best to consult with a qualified dentist in the country who can assess your specific needs and recommend the appropriate treatment.
Let us talk about the disadvantages of the telescope prosthesis. First, let us talk about the need to follow a different hygiene method than other prostheses. These prosthetic systems are cleaned outside the mouth. So, you need to remove the bridge regularly.
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