Dr. med. dent. Natalie Paulsen

Dentist for fearful patients

Aesthetics - Prophylaxis - Implantology

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Your specialist for treating

fearful patients in the area Bonn / Bad Honnef

Dental prostheses

Hi-quality, durable dental prostheses - partial dentures, full dentures, telescopic dentures - by dentist Dr. Paulsen in Bad Honnef near Bonn

If fixed tooth replacement, such as crowns, bridges or implant-supported tooth replacement is no longer possible due to significant tooth loss or a lack of bone density, modern dentistry offers a number of options to replace missing teeth or provide dental care for a toothless jaw - we are talking about removable or combined tooth replacement.

Removable tooth replacement includes full dentures and model casting dentures or clasped dentures and partial dentures; telescopic dentures are considered combined tooth replacement.

Below we explain the varied types of dentures in greater detail:

Model cast dentures, clasped dentures or partial dentures

Teilprothese - langfristiger Ersatz mehrerer fehlender Zähne. Zahnarztpraxis Dr. Paulsen in Bad Honnef bei Bonn.

Model cast dentures are standard care for long-term replacement of multiple missing teeth. These dentures can be removed and are affixed to the teeth with cast cribs. The metal attachment elements surround the anchor tooth and are supported by it.

The predominant benefit of the model cast dentures is the fact that they are a relatively inexpensive tooth replacement.

Telescopic dentures

Telescopic dentures are considered a combined tooth replacement and consist of a fixed and a removable part, the interior and exterior telescopes. As a rule, they are used when a fixed tooth replacement is no longer possible and offer a comfortable and esthetic alternative to partial dentures with cribs. The natural teeth, to which thin gold caps - the so-called interior telescopes - are firmly cemented, serve as supporting pillars. the exterior telescopes are affixed to the removable part of the dental replacement and slide on top of the interior telescopes. The dentures are kept in the mouth by negative pressure and friction. Interior and exterior telescopes fit exactly and thereby provide a firm hold for the prosthesis.

The creation of the telescopes, very specific double problems made of alloys containing a high amount of code, is a very elaborate procedure. As a rule, several appointments are necessary in order to coordinate the work of dentist and dental technician. telescopes must distribute the weight on the pillar teeth evenly, which necessitates complicated preparations, such as model measurements, highest precision during preparation of the teeth for placement of the crowns and the prosthesis, customized selection of the tooth color and numerous other procedural steps. Precision and smooth collaboration between dentist and dental laboratory is indispensable in order to achieve perfect results.

The fit of the telescope-supported prosthesis must be checked regularly, as the jaw bone can change over the course of time. If this is the case, the prosthesis must be adjusted to these changes. You will enjoy many years of comfortable wear. Based on their particular functional principle, the telescopes guarantee a secure connection of the new tooth replacement to the remaining teeth, thereby assuring optimum stability.

Additional benefits of telescopic dentures:

  • If an additional tooth needs to be pulled, telescopic dentures can simply be extended without having to create a completely new tooth replacement.

  • The pillar teeth with their firmly cemented interior telescopes are very easy to take care of.

  • Telescopic dentures are an esthetic option for tooth replacement.

  • The fit of the telescope-supported prosthesis must be checked regularly, as the jaw bone can change over the course of time. If this is the case, the prosthesis must be adjusted to these changes. You will enjoy many years of comfortable wear.

Telescoping bridge

A telescopic bridge is a special form of a telescopic prosthesis a comfortable and esthetically pleasing alternative to conventional partial dentures.

The telescopic bridge combines the positive characteristics of a fixed bridge with the benefits of a removable partial prosthesis: high stability and good anchoring on one hand, easy oral hygiene and the possibility of extension in case additional teeth are lost on the other hand. Furthermore, based on its special construction principle in contrast to a partial prosthesis, it has the benefit that metal bands or synthetic components in the area of the gums or tongue can be avoided. The telescopic bridge is a combination of a fixed bridge and a removable partial prosthesis. It is possible, if all still existing teeth are ground down for telescopes.

Full dentures or total prosthesis

Vollprothese für ein zahnloses Kiefer. Zahnarztpraxis Dr. Paulsen in Bad Honnef bei Bonn.

Full dentures or total prostheses are used for a toothless jaw and are considered standard dental treatment for upper and/or lower law. (In colloquial language often called "third teeth" or simply "dentures.") As a rule, full dentures are made of synthetic material but can also be reinforced with other materials.

For "third teeth" to fit the jaw exactly and thereby have a comfortable wear, great precision and skill during the production of the impression of the jaw is required. Furthermore, perfect work by the dental technician is required so that the full denture remains affixed to the mucosa and does not slide back and forth.

Frequently, a prosthesis adheres better to the upper jaw than the lower jaw, because the prosthesis for the upper jaw includes a palatal plate the can attach itself to the oral mucosa via suction to the large attachment surface. For the lower jaw on the other hand, the prosthesis is shaped like a horseshoe and the attachment surface is significantly smaller (because the time is "in the way"). Good stability of the lower dentures can only be achieved with a precise fit.

Care of partial dentures, full dentures and telescopic dentures

The handling of partial or full dentures is unfamiliar initially and requires practice. Of utmost importance for wearers of dentures is regular and intense cleaning of the natural teeth and the removable dentures. With the proper technique and good cleaning agents, the patient quickly masters the proper care. The dentist or prophylaxis assistance will gladly show you how to best clean your own teeth and dentures.

Helpful hints on how to enjoy your removable (or combined) dentures for as long as possible:

  • Clean your dentures and natural teeth after each meal.

  • The use of cleaning tablets can be helpful with the agreement by your dentist.

  • If possible, always clean your dentures on a soft service or in a washbasin filled with water. If you drop it, it can be easily damaged!

  • If you wear glasses, it can be beneficial to keep them on while cleaning your teeth, so that you can detect all impurities.

  • You can purchase special brushes for dentures that have longer and more dense bristles at your specialty retailer.

This is how it works best:

  • Remove the dentures from the mouth for dental care.

  • Brush your teeth as usual with the toothbrush.

  • Brush the edge of the gums gently but thoroughly, because this is where the artificial crown, to which the denture is attached, ends most of the time. This is a common spot for bacteria growth.

  • Based on the type of anchoring of the dentures, additional aids such as inter-dental brushes or dental floss may be sensible for the care of crowned teeth.

  • Brush the denture on a soft surface with a brush like your own teeth using a suitable cleaning agent.

  • Rinse thoroughly after cleaning.

Cleaning of dentures in the practice

We offer the service of intense prosthesis cleaning, which is subject to a fee but very effective! With the use of special cleaning agents as well as ultrasound cleaning devices your dentures will look as good as new. However, the requirement for this is that discoloration is not too advanced. Our prophylaxis team will give you more detailed information.


Functional analysis service (FAS) for tooth replacement in order to guarantee a perfect fit  

Jaws, muscles and teeth are always active - whether we are speaking, eating or sleeping. Even a slight disturbance of interaction of the teeth can lead to improper weight distribution and cause permanent damage to teeth. Therefore, the dentist must pay particular attention to the planning and production of new teeth so that they can be integrated into the masticatory system perfectly and with proper function and cause no disorders, pain or damage. Varied measures of functional analysis provide important additional information to help the future tooth replacement fit perfectly.

Elaborate diagnostic procedures

In the context of functional analysis, a variety of examinations are performed with the aid of sophisticated and, as a rule, very complex technologies. The goal is to record the various activities of the lower jaw (speaking, chewing, position at rest). Of particular importance for the manufacture of crowns, bridges, telescopic/full dentures is the exact position of the lower jaw in relationship to the upper jaw. It is the foundation for the determination of the height and shape of tooth replacements (masticatory relief). Forward and sideways movements of the mandibular joint can be detected and reconstructed as well. In principle, the following applies: The more information the dental technician receives from the dentist, the more precisely he can construct the tooth replacement.

Additional services that are worthwhile

Functional analysis services are not paid for by the compulsory health insurance providers. The dentist makes an independent agreement with the patient and creates a customized treatment and payment plan. The elaborate documentation and restoration of the original masticatory function, however, is a worthwhile process for every patient, because it allows the dentist to create an optimal fit for the tooth replacement.

Do you have questions? Please contact us - we will gladly advise you.
Telephone: +49 (0)2224 / 911033 or Email

Your dental practice team in Bad Honnef near Bonn