Non-removable Dental Prosthetics

We manufacture non-removable prostheses in the laboratory to save on treatment costs

At the Kiadent Dental Prosthetics Clinic, we offer effective and affordable fixed prosthetics options for replacing one, several, or all teeth.

We welcome patients in Odessa at 12 Tyraspolska Street.

Classification of Fixed Prosthetics

By Material

Zirconia: Made from premium, colorless zirconium dioxide with a ceramic coating. Provides high strength and natural translucency.
Monolithic Ceramic E-max: Manufactured from high-strength pressed ceramics. E-max metal-free ceramic crowns represent the latest generation of aesthetic dentistry materials.
Metal-Ceramic: Consist of a metal base (alloys of chrome, nickel, cobalt) and a ceramic layer. Extremely durable and more affordable than zirconia and metal-free ceramics. These crowns are recommended for molar restorations as their metal framework may shine through, potentially causing gum discoloration (bluish hue).
Plastic: Suitable only for the anterior teeth as a temporary solution during preparation for the main type of prosthetics.
Metal (Chrome, Nickel, Cobalt): Often used as a budget-friendly and aesthetic option for prosthetics.

By Type of Fixation

Cemented: Crowns and bridges of this type are installed on supporting teeth. Dental cement provides reliable bonding between the prosthetic material and the dentin or enamel.
Screw Retained: Primarily used for fixed prosthetics on implants. Screws are inserted through an opening in the crown and then sealed with composite material.

By Purpose and Scope of Application

Partial: Cover single or multiple gaps in the dental arch.
Complete: Used for full edentulous jaws.
Temporary: Lightweight, fixed transitional prosthetics or single acrylic (plastic) crowns used during the integration of implants into the bone.
Permanent: Durable metal-ceramic or zirconia prosthetics that replace temporary versions after the osteointegration of titanium implants is complete.

Cost of Fixed Prosthetics

Complete list of services for fixed prosthetics:

Dentist consultation
Metal-ceramic crown
Tooth restoration with a permanent CAD/CAM metal-ceramic crown
E-max veneers of standard aesthetics
Permanent zirconium dioxide crown with screw retention on an implant
Permanent E-max monolithic ceramic crown with screw retention on an implant
All-on-4 (includes: consultation, initial examination, hardware diagnostics, treatment plan preparation, four implants, surgery, and temporary prosthetic installation.)

Which material should I choose for a fixed crown or prosthetic?

For fixed prosthetics in the anterior teeth group, our dentists recommend metal-free ceramics or zirconia. These premium materials help achieve a flawless Hollywood smile. For molars, metal-ceramic prosthetics offer excellent value for money.

Types of Fixed Prosthetics

Veneers (Lumineers)

Thin ceramic microplates made from pure ceramic or zirconium dioxide. Veneers are bonded to the visible surface of teeth using dental adhesive after minimal enamel preparation. In some cases, depulpation (nerve removal and root canal treatment) may be required before installation.

Lumineers are an advanced type of veneers that require minimal or no tooth preparation. They are more expensive than traditional veneers.

Applications: Correcting aesthetic defects in the visible group of teeth (6 upper and 6 lower), such as chips, cracks, discoloration, and minor misalignments.

Advantages: Natural translucency, Hollywood smile, and perfect tooth shape.

Disadvantages: High cost, need for enamel preparation and potential depulpation, contraindications for severely damaged teeth.

Inlays

Ceramic plates used to restore the chewing surfaces of teeth. Manufactured in a dental lab based on impressions.

Applications: Restoring molars with over 40% coronal damage when fillings are insufficient.

Advantages: Precisely restores the tooth’s shape and functionality.

Disadvantages: More expensive than traditional fillings.

Crowns

Fixed caps that fully restore the coronal part of a tooth. Crowns can be metal, metal-ceramic, zirconia, or metal-free ceramic E-max. They are cemented onto the tooth after preparation of the enamel.

Applications: Suitable for single or multiple teeth with healthy roots in all areas of the jaw.

Advantages: Restore aesthetics and functionality, protect the tooth from further destruction.

Disadvantages: Vary depending on the crown material.

Dental Bridges

A dental bridge consists of several connected crowns and is fixed on healthy supporting teeth. Made from the same materials as crowns. Bridges require at least two healthy teeth on either side of the gap.

Applications: Fixed bridges are used to replace 1–3 consecutive missing teeth.

Advantages: Restores chewing function and conceals the gap.

Disadvantages: Bone resorption in the missing tooth area continues; in some cases, nerve removal and enamel preparation may be necessary, reducing the lifespan of supporting teeth.

Implant-Supported Prosthetics

The most advanced type of fixed prosthetics. This technique involves inserting one or more titanium implants into the bone to serve as artificial roots. After integration, orthopedic structures such as crowns, bridges, or overdentures are installed on these implants.

For total edentulism, modern All-on-4 and All-on-6 techniques are used. These methods involve securing fixed prosthetics on 4 or 6 dental implants.

Applications: Suitable for restoring any group of teeth in cases of partial or complete tooth loss, trauma, or root destruction.

Advantages: Fully restores aesthetics and functionality, supports bone health, offers superior longevity and aesthetics.

Disadvantages: High cost, surgical procedure contraindications.

Which is better: a dental bridge or implants?

Implants prevent nerve removal in adjacent teeth, avoid overloading supporting units, and maintain bone health. We recommend bridges only when implants are contraindicated or if nerves have been removed in the supporting teeth, making them vulnerable to damage.

At your consultation, the dentist will recommend the most suitable fixed prosthetics option.

Stages of Fixed Prosthetics

Prosthetic constructions are typically installed in two visits:

1. First Visit
During the first visit, preparatory procedures are performed: examination, planning, and impression taking. It takes approximately a week to manufacture the orthopedic products in the dental lab.
2. Second Visit
About a week later, the patient returns to the clinic. The installation procedure takes 1–2 hours on average. First, the prosthetic is tried in the oral cavity, adjusted if necessary, and then fixed.

Before prosthetics, it is necessary to treat any oral health issues, perform professional cleaning of plaque and tartar, and prepare the supporting teeth or implants.

Post-Prosthetics Care and Prevention

Proper care for fixed prosthetics includes:

Brushing with toothpaste and dental floss twice a day.
Cleaning interdental spaces with dental brushes or an irrigator.
Visiting the dentist for check-ups and professional cleaning (every 6 months).

Particularly thorough care is essential for those with dental implants. Follow your dentist’s recommendations to avoid complications and ensure the longevity of your prosthetics.

Indications for Fixed Prosthetics

Partial or complete absence of teeth (edentulism).
Discoloration, chipping, or cracking of enamel.
Tooth damage ranging from 30% to 70%.
Misalignment or shape irregularities of one or more teeth.
Large gaps between teeth (diastema, tremas).

Contraindications for Fixed Prosthetics

In cases of relative contraindications, fixed prosthetics may be postponed until further treatment. For absolute contraindications, alternative tooth restoration methods should be chosen to prevent serious complications.

Absolute Contraindications

Allergy to anesthesia — necessary for most types of prosthetics.
Severe psychiatric disorders, alcoholism, or substance abuse — may lead to risky behavior or complications.
Active cancer — weakens the immune system, increasing the risk of complications.
Autoimmune diseases during flare-ups — these conditions weaken the body's defenses, potentially leading to infections.

Relative Contraindications

Poor oral hygiene — pathogenic bacteria can lead to inflammation under the prosthetics.
Gum disease or tooth infections — must be treated before prosthetics to prevent issues beneath the prosthetics.
Bruxism (teeth grinding) — increases stress on prosthetics, potentially causing damage; treatment is recommended.
Bite defects — misaligned teeth can lead to uneven chewing pressure and prosthetic damage; orthodontic treatment may be needed first.
Temporomandibular joint dysfunction — issues with the jaw joint can cause uneven chewing pressure; a specialist may be required.
Infectious or viral illnesses — weaken the immune system, so treatment should precede prosthetics.
Chronic disease exacerbations — weaken the body's defenses, requiring remission before prosthetics.

How to Choose the Right Type of Fixed Prosthetics

During diagnostics, the dentist evaluates the severity of the defect and offers one or more prosthetic options. To make the right choice, ask your dentist about the pros and cons of each method. A skilled specialist will recommend the best solution based on your clinical case and personal preferences.

Questions and Answers

How long does it take to adapt to fixed prosthetics?
Adaptation varies by individual. Some patients may experience increased salivation, gag reflex, minor speech defects, or discomfort during chewing. These sensations typically subside within 1–3 weeks.
How can I ease the adaptation process?
To reduce discomfort after prosthetics, avoid hard foods that can irritate the gums.
For excessive salivation, drink water frequently. If gag reflex occurs, try breathing through your nose or rinsing with a saline solution.
When should I contact the clinic?
Reach out to your dentist if you experience severe pain, swelling around the prosthetic area, or loosening of the prosthetic.
Avoid self-treatment, as it can worsen the situation or lead to additional complications.
Can fixed prosthetics fall out?
Fixed prosthetics may fall out if the dental cement has aged (over 10 years). If the prosthetic falls out earlier, it may indicate another issue.
In any case, consult your dentist promptly to refix the prosthetic and identify the cause.
What should I choose: crowns or veneers?
Veneers are ideal for improving the aesthetics of your smile when there are minor tooth defects. Crowns are more suitable for teeth that are more than two-thirds damaged.
During your initial consultation, your dentist will recommend the best prosthetic method for your situation.