Fixed and mobile prosthesis

Prosthetic dentistry is the branch of dentistry that restores and maintains the masticatory function through the restoration of natural teeth and / or the replacement of missing teeth and contiguous oral tissues by applying artificial devices. The fixed prosthesis deals with the restoration and / or replacement of teeth through structures that can not be removed from the mouth. Through this type of prosthesis, in the form of single crowns or bridges, it is possible to reconstruct and / or improve the shape, functionality and aesthetics of severely compromised teeth in all those cases where it is not possible to apply simpler forms of restoration. (see section dedicated to direct and indirect restoration).


The removable (or mobile) prosthesis allows the replacement of adjacent teeth and structures in totally or partially edentulous patients through artificial structures that can be removed from the mouth. In the case of partial dentures, the choice (in contrast to a fixed solution) depends on the number, position and conditions of the support structures of the abutment teeth present.


Instead, the total prosthesis must be used when it is necessary to compensate for the complete loss of toothing of one or both arches; it is essential that its packaging respect the residual oral structures in the most accurate way possible, in order to ensure their maintenance over time.


customized abutment on implant made of zirconium oxide (Laboratorio Mignani)

final rehabilitation achieved with ceramic crown on zirconium oxide (Laboratorio Mignani)
First left lower molar prepared in the state of protein stump
Definitive crown on the element made of zirconium oxide and ceramic (Laboratorio Mignani)
In this case it is necessary to replace the prosthetic crowns present, for caries on the natural elements and for the rehabilitation of the first upper right molar, recently extracted for a serious endodontic pathology.
Vision of the prosthetic abutments to the removal of existing prostheses
Implant abutments in zirconium oxide (Laboratorio Mignani)
The final prosthetic crowns in zirconium oxide and ceramics (Laboratorio Mignani)
Deep inflammation around crowns with completely incongruous margins
The abutments will have to be completely reconstructed and rebuilt
Pillars reconstructed with fully restored gingival tissues
Single crowns permanently cemented
First premolar and second molar "prepared" to act as bridge pillars
The definitive bridge after cementation
The tooth will be extracted and replaced with a single implant with insertion and immediate loading
The first premolar was extracted and immediately a plant was inserted with a screwed resin element: healing after 4 months
A custom zirconium abutment with a titanium base was applied to the implant
The correct morphology of the abutment is checked
The final result is respectful of the morphology of the tissues of the adjacent teeth
The entry hole for the final implant-crown connection screw is filled with composite material making it invisible but at the same time can be inspected for any need
Patient suffering from chronic periodontitis with complete absence of molar support
The bone resorption was such that it was necessary to extract all the elements present, keeping only the canines at the root level
In the lower arch the 4 premolars are maintained, prepared with pillar elements
The plaster models corresponding to the situation after the complete reclamation of the arches are analyzed in the articulator at semi-individual values in order to establish the most appropriate treatment and rehabilitation plan.
The lower elements retained are protected by metal structures constructed to offer retention to a complete prosthesis
The lower prosthesis is constructed of metal elements corresponding to the telescopic elements of the previous image
The upper total denture is constructed with the palatal part in transparent resin to facilitate its control
The patient with complete lower and upper total prosthesis
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