Combined Work
Individuals who require a solution for partial edentulism have the option of a dental solution that combines fixed and removable elements, providing stability, aesthetics, and comfort
Thanks to precise attachment systems, the removable part of the prosthesis is securely connected to the fixed work, ensuring a natural feeling while chewing and speaking.
What is combined work?
This method uses dental crowns or bridges that are fixed to the remaining natural teeth or implants, while the removable part (the prosthesis) is attached through special connectors such as telescopic crowns, bars, or locators.
Combined work provides a high level of stability, comfort, and functionality, with the ability to remove the mobile part for easier cleaning and oral hygiene maintenance.
It is an ideal solution for patients who do not have enough remaining teeth for a fully fixed solution but seek a more stable alternative to conventional dentures.
Advantages of combined work
- Stability and strength – better functionality compared to classic removable dentures
- Natural appearance – the prosthesis is aesthetically adapted to the patient’s smile
- Improved functionality – enables normal chewing and speaking
- Easier hygiene maintenance – the removable part can be taken out for cleaning
- Long-lasting result – with proper care, combined work can last 10–15 years or longer
Who are candidates for combined work?
Combined work is suitable for patients who:
- Have remaining healthy teeth that can serve as supports for the fixed part
- Have partial edentulism and desire a more stable solution than classic dentures
- Seek improved functionality, stability, and aesthetics compared to removable dentures
- Are not candidates for fully fixed prosthetic solutions
- Prefer easier oral hygiene maintenance with the option to remove the mobile part
For long-term success, the remaining teeth (abutments) must be healthy and strong enough to bear the load of the fixed part of the prosthesis. In cases using dental implants as supports, the patient must have sufficient bone for implant placement.
Procedure for creating combined work
1. First visit – Diagnostics and treatment planning
- Clinical examination and assessment of the condition of remaining teeth
- X-ray and 3D CBCT diagnostics to analyze bone structure and abutment positions
- Selection of materials and attachment system for the removable part
2. Second visit – Preparation of the fixed part
- Tooth preparation (shaping) for crowns or bridges
- Taking impressions for the fabrication of the fixed part
- Placement of temporary crowns while the permanent prosthetic work is being created
3. Final adjustment and placement of the combined work
- Placement of the finished prosthesis and checking comfort, aesthetics, and functionality
- Patient education on proper oral hygiene and handling of the removable prosthesis
Combined work provides patients with an optimal balance between the stability of fixed prosthetic restorations and the practicality and ease of use of removable dentures.
This method allows normal chewing, speaking, and communication, while ensuring the highest level of aesthetics and comfort.
Specially designed elements such as telescopic crowns, clasps, or bars further enhance the stability of the removable prosthesis, improving patients' quality of life.
Regular and proper oral hygiene, along with dental check-ups, are crucial for the longevity of combined work and the preservation of oral health.
Frequently asked questions and answers about combined work
The process usually takes 4–6 weeks, depending on the individual needs of the patient.
No, the procedure is performed under local anesthesia, so the patient feels no pain during the preparation of the abutment teeth.
With proper care and regular dental check-ups, it can last 10–15 years or longer.
The removable part is cleaned with special brushes and cleaning solutions, while the fixed part is maintained like natural teeth, with regular brushing and the use of interdental brushes.
Yes, the fixed part provides a solid foundation, ensuring greater stability and security when chewing and speaking.
The price varies depending on the materials used and the number of abutments, so it is best to consult a dentist for an exact cost estimate.
It is recommended to remove the mobile part during the night to allow the gums to rest and to maintain optimal hygiene.
Based on examination and analysis of your dental condition, the dentist will recommend the best option according to your needs.
Yes, modern dental materials allow prosthetic restorations to fully mimic the color and shape of natural teeth.
In case of damage, the dentist can repair or replace parts of the combined work
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