You may be wondering which provisional prosthesis is best for you for an All-on-4!
This uncertainty is frequent for many patients and if you forget to inform yourself before starting this procedure, you risk wearing for a few months, a temporary prosthesis that is not suitable for you.
In addition, it is completely false to have a temporary prosthesis in place on the same day as the placement of the implants!
This article is intended to understand the risks and possible disadvantages in the choice of a fixed temporary prosthesis compared to a removable temporary prosthesis after the placement of the implants for an All-on-4.
What is a temporary or provisional prosthesis?
A temporary or provisional prosthesis is a fixed or removable denture designed to improve aesthetics, stabilization and function for a limited period (usually 3 to 6 months), after which it must be replaced by a permanent dental prosthesis (fixed or removable).
A temporary prosthesis for an All-on-4
A provisional prosthesis is included in the procedure of an All-on-4.
After placing your dental implants, a temporary complete denture, which includes artificial acrylic teeth, will be attached to the implant structure for a period of three to six months before the permanent denture can be placed.
This time is necessary for your new dental implants to combine with the jaw bone where they were placed. This process is called osteointegration. During this period, this temporary prosthesis should be used in order to restore your dental functions, because in most situations, you will have little or no other natural teeth present to allow chewing, speech or normal appearance.
The provisional prosthesis is constructed in the laboratory using many similar techniques used to make a permanent prosthesis. However, this prosthesis is made from a preliminary impression before the implant surgery.
Adjustments will be made by the dentist to improve position, bite and comfort. You should be aware that this temporary prosthesis is only a short-term solution until the permanent prosthesis is ready to be placed. You are therefore encouraged to take care of the provisional prosthesis. Most problems arise when patients accidentally damage their provisional prosthesis.
Although the mandatory waiting period for osseointegration is 3 to 6 months, most temporary or provisional prostheses will not remain fully intact during this period. Some patients wanting a temporary fixed prosthesis will undergo fractures or ruptures within 2 to 4 months after the initial installation. It is important to remember that your temporary prosthesis is not designed to last beyond this period of use.
The advantages of a temporary prosthesis
For many patients, the benefit of an immediate and temporary prosthesis is immense.
Patients without functional teeth will now have a conventional set of teeth loaded immediately after placement of the dental implants (after 5 to 7 days). There will be no embarrassment, no need to hide from friends, family and colleagues. You leave the clinic with a beautiful smile.
Temporary prostheses protect implants, gum tissue, help control bleeding and swelling. They also help prosthetic wearers for the first time to adapt to the differences between natural teeth and dentures, and to restore some ability to chew and speak.
When patients receive their permanent dentures, they are more used to talking and eating with this type of restoration and feel like they have natural teeth.
Getting used to your temporary prosthesis
These temporary prostheses are fixed shortly after the placement of your new dental implants. The impression was made before the implant was placed.
Thus, the position and bite cannot be completely correct and you must return to the dental office for the necessary daily adjustments for at least three days after testing the provisional prosthesis. It is essential for you to plan this time in order to ensure proper fitting and occlusion.
How long should you stay to test your temporary prosthesis?
During the initial planning of appointments, patients are advised to include in their travel plans, a minimum of seven additional days after implant surgery in order to heal the incisions in the gums and also to have enough time to adjust the provisional prosthesis.
If you come home too soon after treatment, we will be limited to help you adjust and resolve any problems or difficulties that you may experience and may arise after surgery or the placement of the provisional prosthesis.
Over time, your cheek and tongue muscles will adapt to the new denture in your mouth. At first, you may notice an increase in the amount of saliva and some muscle pain in your jaw. You may also experience mild irritation. Do not worry. These minor changes and difficulties are only short-lived.
How long do temporary dentures last?
Your temporary prosthesis is temporary and can only be used for 3 to 6 months. These temporary prostheses cannot be considered permanent and should be used with caution during meal times. A softer, more nutritious diet is important.
Care should be taken to avoid fractures and damage to the temporary fixed prosthesis.
Removable or fixed provisional prosthesis? What is best for you?
If you fear possible ruptures or damage to the fixed prosthesis during this healing phase of 3 to 6 months, you should consider a temporary removable prosthesis.
A removable temporary prosthesis is not as practical as a fixed temporary prosthesis. However, it is much less likely to be damaged during the 3-6 month healing phase.
We strongly recommend a removable temporary prosthesis.
If you already have a removable denture before an All-on-4 treatment, we will modify your prosthesis to adapt it to your implants.
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