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The best den­tures are those that are suit­able for a par­tic­u­lar per­son accord­ing to the indi­ca­tions and the clin­i­cal sit­u­a­tion in the oral cav­i­ty. High-qual­i­ty ortho­pe­dic con­struc­tions should be aes­thet­ic, reli­able and not cause dis­com­fort. Our experts — den­tist, ortho­don­tist Alexan­der Ermakov and Can­di­date of Med­ical Sci­ences, den­tist, ortho­pe­dist Niko­lai Kushchenko talked about the pros and cons of mod­ern remov­able den­tures and gave use­ful advice on pros­thet­ics.

Which removable dentures are best for adults

As the den­tist-ortho­don­tist Alexan­der Ermakov notes, remov­able den­tures are ortho­pe­dic struc­tures that a per­son can remove on their own.

Adult patients can install the fol­low­ing types of remov­able den­tures:

• full — they are installed in the com­plete absence of teeth on one jaw;
• par­tial — they are used in the absence of sev­er­al teeth with­in the same jaw^one.

“Par­tial remov­able den­tures are ordi­nary plas­tic plate and clasp ones,” adds Niko­lai Kushchenko, ortho­pe­dic den­tist.

Rating of the top 9 best removable dentures

When choos­ing pros­the­ses, the num­ber of pre­served teeth, the fea­tures of their loca­tion on the jaw and the state of the sup­port­ing appa­ra­tus, the sen­si­tiv­i­ty and com­pli­ance of the gum mucosa, and much more are tak­en into account.^one. An expe­ri­enced doc­tor will be able to choose the best remov­able den­tures for each clin­i­cal case and will def­i­nite­ly take into account the finan­cial capa­bil­i­ties of the patient. Our rat­ing con­tains the best remov­able den­tures with a dif­fer­ent design, mate­r­i­al of man­u­fac­ture and price.

Complete removable dentures

Ful­ly remov­able den­tures are made of acrylic and the more mod­ern Acry-free mate­r­i­al, they are fixed on the mucosa or on implants. Such pros­the­ses can be screwed onto implants (the patient him­self can­not remove them and put them back) or fixed with but­tons (you can remove, clean and install them back).

1. Acrylic dentures

Acrylic den­tures are aes­thet­ic, easy to man­u­fac­ture and inex­pen­sive, there­fore the most pop­u­lar. They are made of durable acrylic plas­tic, which is very sim­i­lar to nat­ur­al tooth enam­el. Acrylic den­tures dis­trib­ute the chew­ing load well, so the bone under them will not atro­phy too quick­ly. Acrylic does not change col­or over time, and replace­ment of the pros­the­sis is usu­al­ly required due to defor­ma­tion of the pros­the­sis and dete­ri­o­ra­tion of fix­a­tion due to a decrease in bone vol­ume².

Main characteristics

Pros and cons

To the point

Which den­tures to choose: advice from doc­tors

2. Acry-free

These pros­the­ses are made from an advanced acrylic resin with­out methyl methacry­late, mak­ing this mate­r­i­al suit­able for aller­gic patients. Accord­ing to its prop­er­ties, Acry-free is very sim­i­lar to ordi­nary acrylic — it is quite durable, aes­thet­ic and easy to repair. There­fore, the pros and cons of remov­able den­tures made of acrylic and Acry-free are almost iden­ti­cal.

Main characteristics

Pros and cons

Partial removable

Par­tial den­tures can be made entire­ly of nylon or plas­tic, or an arcu­ate met­al frame can be placed inside the den­ture. Such pros­the­ses are called clasp. These struc­tures are fixed in sev­er­al ways: on clasps, on micro-locks and tele­scop­ic crowns².

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3. Clasp prostheses

Clasp pros­the­ses are well fixed and help to keep mobile teeth. It is eas­i­er for patients to get used to clasp con­struc­tions, because they do not over­lap the palate and dis­trib­ute the load on the bone tis­sue well.

- Clasp den­tures are more com­pet­i­tive com­pared to par­tial remov­able plas­tic den­tures, since the met­al frame makes the design more durable and minia­ture. How­ev­er, such pros­the­ses also require cor­rec­tion (relo­ca­tion) every 3–6 years, since bone tis­sue atro­phy is inevitable. The chew­ing load of clasp pros­the­ses is up to 65%, depend­ing on the type of fas­ten­ing of the pros­the­sis to the teeth²- com­ments the ortho­pe­dic den­tist Niko­lai Kushchenko.

4. Clasp on clasps

Clasps are spe­cial hooks that are attached to the pros­the­sis and wrap around the abut­ment teeth. Clasps are either met­al or plas­tic. Met­al ones are not very aes­thet­ic and are clear­ly vis­i­ble when smil­ing, but they can be bent if the lev­el of fix­a­tion has decreased. Plas­tic clasps are less notice­able, but also less reli­able — they can break and, over time, begin to hold the pros­the­sis worse.

The met­al clasps of the Ney sys­tem are con­sid­ered the most bud­getary, but they are very vis­i­ble when smil­ing.

Main characteristics

Pros and cons

5. Clasp with micro locks

- Micro locks or attach­ments look like balls that are fixed on the pros­the­sis in spe­cial holes with rub­ber seals. Such pros­the­ses are more aes­thet­ic and bet­ter kept in the oral cav­i­ty even with a short­age of bone tis­sue. Pros­the­ses with microlocks can be installed on your own teeth and implants,” explains Alexan­der Ermakov, an ortho­don­tist.

Main characteristics

Pros and cons

6. Clasp on telescopic crowns

This is the most durable type of fix­a­tion of remov­able den­tures. Tele­scop­ic crowns con­sist of 2 parts — one is put on the sup­port­ing tooth or implant, the oth­er is attached to the pros­the­sis. Then one part enters the oth­er accord­ing to the “matryosh­ka” prin­ci­ple. This design does not slip and does not cre­ate exces­sive pres­sure, dur­ing instal­la­tion it is not nec­es­sary to use cement and screw ele­ments.

Main characteristics

Pros and cons

7. Nylon

Nylon pros­the­ses are suit­able for short-term pros­thet­ics. They are light and com­fort­able, they have aes­thet­ic gum-col­ored clasps. Den­tures are well fixed and do not break when falling due to the elas­tic­i­ty of the mate­r­i­al. But if the pros­the­sis still breaks, then it will be impos­si­ble to fix it.

Under nylon pros­the­ses, bone tis­sue atro­phies great­ly, and this is their biggest draw­back. For this rea­son, they can­not be used for a long time. In addi­tion, nylon even­tu­al­ly becomes cov­ered with micro­c­racks and changes col­or, which does not look very attrac­tive.

Main characteristics

Pros and cons

8. Sandwich type

Sand­wich pros­the­ses do not have a palatal sep­tum, so they are eas­i­er to get used to. They are secure­ly fixed on the gum between two abut­ment teeth and are not infe­ri­or in strength to clasp sys­tems. Such struc­tures con­sist of acrylic gums, arti­fi­cial crowns and attach­ments, which are attached to the pros­the­sis on one side and to the patien­t’s teeth on the oth­er. The den­tures can be eas­i­ly removed and replaced by your­self, how­ev­er, it is not nec­es­sary to do this every day.

Main characteristics

Pros and cons

9. On implants

Remov­able den­tures on implants prac­ti­cal­ly do not exert pres­sure on the gums, which means they irri­tate the mucous mem­brane less and do not lead to bone tis­sue atro­phy. Designs con­sist of arti­fi­cial gums, crowns and fix­ing ele­ments. To give the pros­the­sis addi­tion­al rigid­i­ty, a met­al wire can be used.

Main characteristics

Pros and cons

How to choose the right removable dentures

- The patient can choose a remov­able pros­the­sis on his own only at a price. Accord­ing to all oth­er cri­te­ria, the choice is made by a doc­tor who under­stands in which clin­i­cal case which type of pros­the­sis should be used,” notes our expert Niko­lay Kushchenko.

- First you need to find a good doc­tor who knows all types of pros­thet­ics, he will select the best option. But if a doc­tor knows how to han­dle only con­ven­tion­al acrylic and nylon pros­the­ses, he is unlike­ly to be able to offer some­thing else,” adds Alexan­der Ermakov.

Reviews of doctors about removable dentures

“If pos­si­ble, I rec­om­mend using clasp pros­the­ses, but at the same time they need more care­ful care, oth­er­wise the abut­ment teeth may wear out,” says ortho­pe­dic den­tist Niko­lai Kushchenko. — But all remov­able struc­tures have dis­ad­van­tages: they cause atro­phy of bone tis­sue, do not fill the chew­ing func­tion by 100% and are not very aes­thet­ic. Den­tures are a treat­ment option for those who can­not place den­tal implants. Mod­ern den­tistry restores teeth through implan­ta­tion, and remov­able den­tures are more of a tem­po­rary mea­sure.

“Any remov­able con­struc­tion is a decrease in the patient’s qual­i­ty of life, so I ori­ent every­one towards fixed pros­the­ses,” says ortho­don­tist Alexan­der Ermakov. — If 1–3 teeth are lost, I rec­om­mend putting a nylon pros­the­sis for a peri­od of no more than 6–10 months, then to install the implant. If the patient does not have more than 4 teeth, I advise a clasp pros­the­sis on tele­scop­ic crowns or with clasp fix­a­tion. If it should be a com­plete remov­able den­ture, then it is bet­ter to choose a design on attach­ments, loca­tors. It is also pos­si­ble to make a pros­the­sis based on implants and on a bar. This is the strongest con­nec­tion and the best load dis­tri­b­u­tion. How­ev­er, the cost of pros­thet­ics will be almost the same as with pros­thet­ics with fixed crowns.

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Popular questions and answers

Remov­able den­tures are often used to solve den­tal prob­lems, while many patients do not know how to quick­ly adapt to these struc­tures and how to prop­er­ly care for them. Pop­u­lar ques­tions about remov­able den­tures are answered by our experts: den­tist, ortho­don­tist Alexan­der Ermakov and Ph.D., den­tist, ortho­pe­dist Niko­lai Kushchenko.