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Fixed Temporary Tooth

Temporary Fixed Teeth in Dental Implant Treatment

Temporary fixed teeth are a type of dental prosthesis used during the healing process of implants, allowing patients to continue with their daily activities. These prostheses are placed on top of the implants and replaced by permanent restorations once the healing process is completed. For the temporary teeth to be placed, the implant must have been positioned with a certain amount of pressure. In advanced surgical cases where bone grafts are used, temporary teeth might not be placed, even if adequate pressure is achieved. The decision on whether to use a temporary fixed tooth during the surgical procedure is made by the surgeon.

 

Reasons for Using Temporary Fixed Teeth

Aesthetic and Functional Temporary Solution: Dental implants require surgical procedures, and a temporary process may be necessary until the implants are fully integrated into the jawbone. A temporary fixed tooth allows patients to maintain their appearance and continue eating and speaking during the healing phase.

Jawbone Protection: When implants are placed into the jaw, the healing period is crucial for the integration between the bone and implant. Temporary fixed teeth help protect the jawbone during this period and assist in the proper alignment.

Lip and Cheek Support: A temporary fixed tooth helps maintain the structure of the jaw, preventing the collapse or deformation of the lips and cheeks. This ensures that the patient’s face retains its aesthetic symmetry during the healing period.

Psychological Comfort: Tooth loss can impact a patient's aesthetic appearance and self-confidence. Temporary fixed teeth provide psychological relief during the dental implant process, helping patients feel more comfortable.

Ease of Transition: Temporary fixed teeth help patients eat, talk, and perform other daily activities comfortably while transitioning to permanent restorations. This makes the period of waiting for permanent teeth more comfortable.

 

When Are Temporary Teeth Placed After Implants?

Temporary teeth are generally placed immediately after the implant procedure during the same session. However, in some cases, it may be more appropriate to wait for the healing process to complete, which may range from a few days to several weeks. The healing time depends on factors like the condition of the implant area, the patient’s overall health, and the dentist's preferences. In some cases, the placement of temporary teeth might be postponed to ensure the implant is properly integrated into the jawbone.

 

Care and Potential Issues After the Placement of Temporary Fixed Teeth

After the placement of temporary fixed teeth, it's essential to follow specific guidelines regarding eating, drinking, and oral hygiene to ensure optimal healing and avoid complications.

 

When Temporary Teeth Are Not Used

There are certain situations where temporary teeth may not be used after dental implant surgery:

Patient’s Health Condition: General health conditions, systemic diseases, or medications taken can affect the applicability of temporary teeth.

Tissue or Bone Loss: In cases of significant tissue or bone loss in the implant area, it may not be possible to immediately place temporary teeth. In such cases, the bone or tissue may need to be restored before proceeding with the implant.

Single Implant Cases: For single implant cases, permanent crowns may be designed and placed instead of temporary teeth.

Special Situations: In certain special cases, alternative solutions may be considered. For example, if the patient’s aesthetic or functional expectations cannot be met with temporary teeth, the dentist may decide to proceed directly to permanent restorations.

Technical Challenges: Some implant surgeries may involve technical complexities that delay the use of temporary teeth.

 

Consequences of Not Using Temporary Teeth

If temporary fixed teeth are not used after an implant procedure, the following issues can arise:

Aesthetic Issues: A gap caused by missing teeth can affect the appearance and may cause embarrassment, though this is typically only during the waiting period.

Functional Issues: Missing teeth can impact the chewing function, making it difficult to eat properly during the healing period.

Tooth Shifting: Teeth adjacent to the implant site may shift toward the gap, especially in the absence of temporary teeth. This risk is low during short-term waiting periods, but the opinion of your dentist regarding this risk is important.

Speech Problems: Tooth loss can cause difficulties with speech, particularly when pronouncing certain sounds, during the waiting period.

Bone Loss: Missing teeth can lead to bone resorption in the jaw, though this is generally a long-term effect. Implants help prevent bone loss by stimulating the jawbone. The risk of bone loss during short-term waiting periods is minimal, but this should be assessed by the dentist.

 

Conclusion

Temporary fixed teeth play an important role in the healing process of dental implants by maintaining aesthetics and functionality. Their use can significantly enhance the patient's comfort, reduce psychological stress, and protect the jawbone. However, in some cases, temporary teeth may not be used, and alternative solutions may be necessary. Always consult with your dentist to understand your specific needs and to determine the best course of action for your individual case.

Frequently Asked Questions

Quick Recovery and Aesthetic Appearance:
Fixed temporary teeth allow patients to go through the recovery process after implant surgery while maintaining a natural-looking smile. During the treatment, patients can enjoy an aesthetic appearance.

Comfortable Use:
Compared to removable prostheses, fixed temporary teeth offer a more comfortable experience. Since they are fixed in place, issues such as slippage or discomfort commonly associated with removable dentures are eliminated.

Aesthetic Appearance:
Fixed temporary teeth can provide a more natural and aesthetically pleasing appearance because they are designed to fit the implant positions perfectly.

Reduces the Risk of Bone Resorption:
Unlike removable prostheses, fixed temporary teeth can help reduce the risk of bone resorption around the implant, as they do not cause uneven pressure.

No Need for a Second Surgical Procedure:
Fixed temporary prostheses help prevent gum closure during the healing period, reducing the need for a second surgical procedure when placing permanent prosthetics.

Guidance for the Permanent Prosthesis:
The fixed temporary teeth act as a guide for the permanent prosthesis in the second stage, both aesthetically and functionally. This ensures better results during the final procedure.

Better Fit and Aesthetic:
By the time the second phase for the permanent prosthesis begins, the gums will have fully healed, which means no additional shaping is needed for a better fit and enhanced aesthetics.

Fixed temporary teeth placed on implants serve as a temporary solution during the healing process after implant surgery. It is important to be mindful of your eating and drinking habits during this period. Here are some key points to consider when eating and drinking with fixed temporary teeth on implants:

Prefer Soft Foods:

Since fixed temporary teeth are used during the implant healing phase, they may not be fully integrated with the jawbone yet. Therefore, it’s essential to avoid hard and crunchy foods. Opt for soft foods to protect the temporary restoration.

Avoid Sharp-edged Foods:

To protect your temporary restoration, avoid sharp-edged foods. These types of foods can damage the restoration, leading to potential issues.

Chew Slowly:

Chewing food slowly helps reduce the pressure placed on the temporary restoration. This can improve the durability of the restoration and prevent it from getting damaged.

Avoid Hot and Cold Foods:

Hot or cold foods can affect the materials of your temporary restoration. It is best to avoid foods that are extremely hot or cold to protect the integrity of the restoration.

Choose Soft Drinks:

When drinking, avoid excessively fizzy or very hot beverages. Opt for softer drinks to protect the temporary restoration and ensure it stays intact.

Don’t Neglect Cleaning and Maintenance:

It is crucial to clean your fixed temporary teeth thoroughly after meals and perform regular maintenance. This helps keep the restoration clean and in good condition.

Follow Your Dentist’s Instructions:

Carefully follow the instructions provided by your dentist regarding implant treatment and temporary fixed teeth. This is important to ensure a successful healing process and long-lasting results.

Remember, fixed temporary teeth are a temporary solution and should be replaced with permanent restorations once your healing is complete. By following your dentist’s recommendations, you can ensure a healthy healing process and achieve the best long-term outcomes.

Here are the steps involved in making fixed temporary teeth on implants:

Surgical Preparation:

After the implant surgery is performed, the healing process begins in the area where the implants have been placed.

Implant Impression Components and Prosthesis Measurements:

At the beginning of the healing process, implant impression components are placed into the patient's mouth. These components are used to determine the position of the implants and to take the measurements for the prosthesis.

Measurement Method:

The prosthesis measurements can be taken using the traditional silicone impression method or by using 3D intraoral scanners. 3D scanners provide faster and more accurate measurements.

Abutment Production:

Based on the measurements, abutments (the upper part of the implant) are created to fit the patient's teeth and bone structure. These abutments provide the connection points for the fixed temporary teeth that will be placed on the implants.

Re-taking Measurements If Necessary:

If needed, measurements can be taken again to confirm the fit of the abutments.

Temporary Prosthesis Production:

Using CAD/CAM devices, a temporary prosthesis design is created based on the patient's measurements. The temporary prosthesis is typically made from materials suitable for temporary use, such as PMMA (polymethyl methacrylate).

Prosthesis Placement:

The produced temporary prosthesis is placed in the mouth and secured with temporary adhesive or screws. This prosthesis helps the patient continue their daily activities as it is placed on the implants.

Fixed temporary teeth are used as a temporary solution until the implants fully heal. Once the implants have fully integrated with the jawbone, they will be replaced with permanent dental prosthetics.

Purpose:

  • Fixed Temporary Teeth: These are used during the healing process after implant surgery, to support the patient's aesthetic and functional needs while the implants integrate with the jawbone.
  • Permanent Teeth: These are designed for long-term use after the implants have fully healed and integrated with the jawbone.

Duration of Use:

  • Fixed Temporary Teeth: These are used for a short period, typically during the integration of the implants. This period can vary from patient to patient, usually lasting a few weeks or months.
  • Permanent Teeth: These are used after the implants are fully healed and integrated, providing a long-term solution.

Material and Design:

  • Fixed Temporary Teeth: As they are temporary, they typically have simpler designs and are made from materials that are quick to produce and easy to adapt.
  • Permanent Teeth: These use more durable materials and custom designs to ensure long-lasting durability.

Aesthetic and Functionality:

  • Fixed Temporary Teeth: These are used to provide aesthetic appearance and support functions, but are not intended for long-term use.
  • Permanent Teeth: These are designed to meet both aesthetic and functional needs for the long term.

Treatment Phase:

  • Fixed Temporary Teeth: They are used while waiting for the implants to integrate with the jawbone after implant surgery.
  • Permanent Teeth: These are placed once the implants are fully integrated and the healing process is complete.

Each patient's condition is unique, so it is important to follow a dentist's recommendations on when and how fixed temporary teeth and permanent teeth should be used.

Yes, temporary fixed teeth placed on implants can offer an aesthetic solution. These temporary restorations are typically designed to provide an aesthetically pleasing appearance and can give the patient a natural smile. Dentists and dental laboratories use materials that are harmonized in terms of aesthetics to match the color, shape, and size of the temporary teeth to closely resemble the patient’s natural teeth.

To achieve an aesthetic appearance, factors such as tooth color, gum line, alignment of the teeth, and the overall smile design are considered. Since temporary fixed teeth are used during the healing process of the implants and guide the preparation of permanent restorations, it is important to achieve satisfactory aesthetic results.

However, each patient and treatment situation is unique. The level of aesthetic satisfaction with temporary fixed teeth may vary depending on the patient's dental structure, implant positioning, and the materials used. Therefore, it is important to discuss your preferences and expectations with your dentist to ensure the best aesthetic results.

While fixed temporary teeth offer a valuable solution during the healing process of dental implants, there are certain risks associated with their use. Here are some potential risks:

Fracture and Damage:

Fixed temporary teeth are typically made from more brittle materials, so they can easily break or get damaged if exposed to unusual or excessive forces.

Aesthetic Issues:

The aesthetic appearance of fixed temporary teeth may not be as good as that of permanent dental restorations. Problems such as color mismatches or issues with the gum structure may arise.

Infection Risk:

If the area beneath the fixed temporary teeth is not properly cleaned and maintained, the risk of infection can increase.

Gum Problems:

Fixed temporary teeth can cause gum issues if they come into contact with the gums, especially if the placement or maintenance is poor.

Impact on Implant Healing:

There is a risk that the fixed temporary teeth may affect the integration of the implant with the jawbone or interfere with the healing process. Therefore, a well-planned temporary prosthesis design and proper follow-up are crucial.

Unexpected Reactions:

Some patients may experience allergic reactions or increased sensitivity to fixed temporary teeth.

Discomfort:

In rare cases, fixed temporary teeth may cause discomfort, misalignment, or an uncomfortable feeling for some patients.

Temporary Nature:

As the name suggests, fixed temporary teeth are a temporary solution and not a long-term fix. It is important to remember that they are not intended as a permanent solution.

These risks can generally be minimized with well-planned and properly maintained fixed temporary teeth. Following your dentist's recommendations during the treatment process and attending regular check-ups will help reduce these risks.

Implant Strength:
Fixed temporary teeth can be applied when the implant is firmly compressed into the jawbone with a force of at least 35 newtons or more. This indicates a solid connection between the implant and the bone.

Number and Position of Implants:
Fixed temporary teeth can be applied when there are at least two implants in the posterior regions or at least one implant in the anterior regions. This ensures stable retention of the prosthesis.

Graft Application:
In some cases where grafting (tissue transfer) is performed, even if sufficient compression is achieved, the application of fixed temporary teeth may not be ideal. In this case, the dentist may decide based on the patient's condition during the implant surgery.

Bruxism (Teeth Grinding):
Patients with bruxism (teeth grinding) may not be suitable candidates for fixed temporary teeth. This condition could potentially damage the prosthesis.

Dentist's Decision:
The dentist will assess the patient's condition during implant surgery and decide whether fixed temporary teeth can be applied.

In conclusion, the applicability of fixed temporary teeth depends on factors such as the patient's condition during implant surgery, the number of implants, implant strength, and other considerations. Therefore, the decision should be made by a dentist based on the individual case.

Taking Impressions:
After implant surgery or the placement of the implant, your dentist takes impressions of the implant area to design the fixed temporary teeth. These impressions provide detailed information about the size, shape, and position of the temporary teeth.

Designing the Temporary Tooth:
Based on the impressions, the laboratory technician designs the temporary tooth. The design ensures the temporary tooth fits securely on the implant and blends seamlessly with the surrounding teeth.

Manufacturing:
Once the prototype is approved, the technician proceeds to manufacture the actual temporary tooth. Typically, materials such as porcelain or acrylic are used for this process.

Application:
Before placing the temporary tooth on the implant, it is adjusted to fit the patient's oral structure and the condition of the implant. The dentist then secures the temporary tooth onto the implant, ensuring it is properly positioned.

Adjustments:
After the temporary tooth is placed, further adjustments may be made if necessary. This ensures the patient can comfortably chew and maintain an aesthetically pleasing appearance.

Healing Process:
The temporary tooth is used throughout the healing process of the implant. This period allows the implant to fuse with the bone and create a solid foundation for the final restoration.

Fixed temporary teeth are crucial during the healing phase after implant surgery to meet the patient's aesthetic and functional needs. Once the implant has fully healed, a permanent tooth is placed. The timeline for this process may vary depending on the patient's needs and the condition of the implant, so it’s important to work closely with your dentist.

Fixed temporary teeth can be made from various materials. Since these materials are used temporarily, they need to be durable, aesthetically pleasing, and able to withstand the patient's daily activities. Below are the common materials used for making fixed temporary teeth:

Acrylic (PMMA):
Polymethyl methacrylate (PMMA) is a commonly used material for temporary dental prostheses. It provides an aesthetic appearance and can be shaped quickly. However, its long-term durability may be limited.

Composite Resin:
Composite resins are tooth-colored materials that provide an aesthetic appearance. When used in the fabrication of temporary teeth, composite resins can meet aesthetic expectations.

Ceramic Materials:
Some temporary teeth can be made from ceramic materials, which offer a more realistic aesthetic appearance. However, they may be less durable compared to permanent dental restorations.

Metals:
In rare cases, temporary teeth can be made from metal alloys. This is typically preferred for patients with special needs.

Hybrid Materials:
Some dental laboratories combine different materials to create hybrid temporary teeth, offering advantages in both aesthetics and durability.

At Citydent Istanbul dental clinic, fixed temporary teeth are made from PMMA. Temporary teeth used for a few days are produced from resin using 35 printers.

The lifespan of fixed temporary teeth placed over dental implants typically ranges from one month to several months. This duration spans from the moment of implant surgery to the point when the implants have fully healed and the permanent dental restoration is placed. Since each patient's situation is unique, the duration for which fixed temporary teeth are used can vary from individual to individual.

However, it is important to remember that fixed temporary teeth are not a long-term solution. Once your permanent dental prosthesis is ready, it is essential to replace the temporary prosthesis with the permanent one. This ensures the success of the implant treatment and the long-term results.

Removing or replacing fixed temporary teeth over implants should always be done by a dentist. This process requires a careful approach to prevent any damage to the implant or surrounding teeth. Typically, the connections or screws surrounding the temporary tooth are loosened, and the tooth is carefully removed.

It is important not to attempt removing the temporary tooth at home, as improper handling can cause complications or damage to the implant. Always consult with your dentist for this procedure to ensure it is done safely and effectively.

You can easily learn about the prices of fixed temporary dental implants at Citydent Istanbul Dental Clinic. Simply reach out to us via WhatsApp, send us an email, or give us a call to get more information.

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