Grannies with no teeth

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bohemian Oma mit einer Krawatte auf Ihre Stirn

Lustige Omas Studioportarit mit einer Krawatte auf der Stirn, die Daumen nach oben zeigt

Alten und schönen lächelnd senior Frau.

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Seniorin mit Vampirzähnen

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Zahnloser Mund mit Zahnimplantaten. Prothetik, Implantation des...

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Porträt einer älteren asiatischen Frau, Schwarz-Weiß

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Porträt von Großmutter, Blick in die Kamera zu Lächeln

Bild einer älteren asiatischen Frau, die in die Kamera lächelt.

Alte zahnlos asiatische Frau

Porträt einer alten zahnlosen asiatischen Frau drinnen

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Nakuru, Kenia - 22. Dezember 2010: Alte Massai-Frau im traditionellen Outfit verkauft Souvenirs

Bild Nahaufnahme von Auge Senior asiatische Frau, schwarz und weiß

Porträt von asiatischen Großmutter Lächeln

Porträt der Ältere asiatische Frau Blick in die Kamera zu Lächeln

Ältere asiatische Frau

Ältere asiatische Frau

Frontansicht Porträt der Seniorin zu Hause mit offenem Mund und üb

älteren Pilger Frau genießen die Sonne am frühen Morgen

Alte chinesische Frau freundliche, zahnlosen Offenes Lächeln. ..

Shanghai, China - 7. April 2013: Porträt der alten chinesischen Frau in der Stadt Shanghai in China am 7. April 2013

Großmutter und Enkelin Anzeichen für fehlende Zähne mit einem Läch

Alte afrikanische Frau

Straßenhändlern Madagaskar

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Oma in lustigen Hut

Sehr alte Dame in lustigem Pelzhut mit zwei Tentakeln

Oma macht verrückt Gesicht

Oma versucht, den Fotografen zu erschrecken - bizarre, verrückte, wütende Gesichter zu machen!! Aber alles ist gut, sie hat einfach nur Spaß. Keine Sorge, während dieses Shootings wurden keine Linsen beschädigt!! Entsättigt, Sepia-Tönung mit leichter Maserung.

Glückliche Ältere asiatische Frau in yard

Porträt einer älteren asiatischen Frau, die im Hof sitzt

green Hexe Gesicht

Halloween-Albtraum, gruselige alte Hexe

Ältere asiatische Frau

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Glückliche senior Frau spricht am Telefon

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Phaung Daw, Myanmar - 28. Dezember 2019: Lächelnde ältere Pa'o-Frau auf dem Phaung Daw Oo-Markt mit Geld eines kürzlichen Verkaufs. Die Pa'O sind die drittgrößte ethnische Nationalität in Birma

Alte masai Frauen

Nakuru, Kenia- 22. Dezember 2010: alte Massai-Frau lächelt Porträt

Chinesische Großeltern

See Inle lake, Myanmar

Meena Frau in Gelb

Pushkar, Rajasthan, Indien - 15. November 2011: Inderin aus dem Stamm der Meena (Meenas, Mina) mit fehlenden Zähnen auf der Pushkar Camel Fair. Sie trägt eine traditionelle, maschinell bestickte gelbe Dupatta.

Senior Frau Tanzen in der Diskothek tagsüber

Moskau, Russland - 30. September 2012: Einheimische ältere Frau zeigt ihren Gehstock und ihr schönes zahnloses Lächeln, während sie eine tolle Zeit beim Tanzen in der Diskothek eines öffentlichen Parks für ältere Menschen hat.

Alte indische Frau

Porträt einer alten 75-jährigen Inderin, aufgenommen in Sabalpura, einem kleinen Dorf im indischen Bundesstaat Rajasthan.

Intensive afrikanische Frau Porträt

Nepalesischer Frau tragen eine schwere Last mit sich.

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Alte chinesische Frau freundliche, zahnlosen Offenes Lächeln im...

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Senior Balinese Frau zu Fuß am Straßenrand

Bali, Indonesien. Eine ältere balinesische Frau, die an der Seite eines Roa din das Dorf Sukawati in Bali geht.

Afrikanischer Christmas-englische Redewendung

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Kopfaufnahme von Großmutter und Enkelin, die beide durch Lächeln Zahnmangel zeigen

Ältere Menschen-Porträts

Strichzeichnung Porträtillustration eines älteren Paares.

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In einer chinesischen Oper kostümierte Frau

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Bild von glückliche Großmutter mit der Enkelin

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Japanische ältere Frau im Kimono.

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In einer chinesischen Oper kostümierte Frau

Nahaufnahme Porträt des alten Frau in Sukawati Market, Bali

Ziemlich asiatische Mädchen, die ihre Großmutter

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If you have no teeth at all

Complete edentulism is the condition of the oral cavity when the patient does not have a single tooth. A person loses teeth for a variety of reasons: the result of advanced periodontitis, trauma, age-related changes, ecology, lifestyle, and much more.

For such patients, there are several solutions for inserting teeth:

Implant prosthetics - can be removable or fixed.

In the case when the patient does not have a single tooth, dentists recommend the installation of prostheses on implants or mini-implants. The implant acts as a support for fixing a fixed and even a removable prosthesis. However, prolonged absence of teeth is often accompanied by complete or partial atrophy of the jawbone crest, which makes implantation difficult, and in some cases impossible. If the condition of the gums still allows you to make implantation and put on a fixed prosthesis, then choose metal-free ceramics based on zirconium dioxide, since this material, unlike metal ceramics, is more biocompatible, very light and durable.

Removable prosthesis - complete removable prosthesis for both jaws.

If implantation is not possible, then removable dentures made of modern thermoplastic materials Acry-Free and Dentalur are suitable for you, which can be made for the full jaw and are attached due to a snug fit and suction effect. These novelties have managed to prove themselves from the very best side in prosthetics in the complete absence of teeth.

Dentalur was developed by the Scientific Research Institute of Rubber and Latex Products in cooperation with the Moscow State University of Medicine and Dentistry. It combines the advantages of acrylic plastics and nylon, but without their disadvantages. "Dentalur" is made on the basis of polyurethane and does not cause allergic reactions. It is stiff enough to hold its shape and does not shrink like nylon. At the same time, Dentalur prostheses are quite soft, which makes them safe and shortens the time to get used to them. The polished surface of the material does not allow microorganisms to attach to the surface of the prosthesis. He is hygienic. You can clean dentures from this material with ordinary toothpastes and brushes. The properties of "Dentalur" make it possible to make prostheses from it with a high degree of accuracy, to achieve a particularly tight fit to the gums. This material is recommended for the manufacture of a complete prosthesis for the entire jaw.

The second material recommended for full jaw dentures is Acry-Free . It has high aesthetic qualities, does not shrink, does not cause allergies. Acry-Free is a more rigid material than Dentalur, as it is based on acrylic plastics, but devoid of residual monomer. The high rigidity of the material and the accuracy of manufacturing make the period of getting used to the prosthesis minimal. The prosthesis is easily adjusted if necessary and can serve for many years.

IMPORTANT! Both materials have another advantage: they are easy to repair, and in case of breakage of the prosthesis, the patient does not have to order a new one.

Specific recommendations for choosing an Acry-Free or Dentalur prosthesis for complete edentulous can only be given by your orthopedic dentist.

Dentistry "No Pain" will help you solve the problem of complete absence of teeth. Our specialists will conduct an examination and select the appropriate type of prosthetics.

Reception is conducted by a doctor of the highest qualification category: dentist-orthopedist-surgeon-implantologist Puga Oleg Aleksandrovich and dentist-orthopedist Puga Irina Aleksandrovna.

You can also use the "Prosthetics at home" service.

Consultation of a dentist free from 11:00 to 19:00 by phone: +7 (911) 276-8817, +7 (812) 490-4320

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what every parent needs to know

All tips

"What is there to treat at all?" - ask in bewilderment dads and moms, grandmas and grandpas of little peanuts when they bring them to an appointment with a pediatric dentist. About this, as well as about what modern pediatric dentistry is, what are the features of the development of milk teeth, about the problems that modern kids and their parents have to face, read in our material ...

"Target audience" of pediatric dentists

Formally, our patients are children from 0 to 16 years old. But in practice - until the age when permanent teeth completely replace milk teeth. This happens at 11 or 12 years of age. Our youngest patient is a 2 week old toddler. Ask, what does such a baby have to do with dentistry? We answer: the only reason for such babies to go to the dentist is a short hyoid frenulum.

At an older age, we work mainly with baby teeth. We see permanent teeth only when it is necessary to seal fissures (we will talk about this a little later) or, in extreme cases, when it is necessary to treat medium caries, but not deeper.

But a teenager of 11-12 years old is, in fact, still a child, you object. And to some extent you will be right. That is why we have an adolescent therapist for such patients. It is he who is engaged in the formed permanent teeth.

Baby tooth: let's get to know each other better!

Indeed, milk teeth have some anatomical features that every parent should be aware of.

First, children's teeth have roots (and sometimes they are longer than the roots of permanent teeth) and nerves. For some dads and moms, this often becomes a real discovery.

Secondly, most of the crown of a milk tooth is occupied by the pulp. And since the pulp horn comes too close to the proximal areas (that is, those areas that are in contact with the neighboring teeth of their row), even medium caries reaches the pulp very quickly, and pulpitis develops. At the same time, pain in children's caries occurs mainly with direct contact of the diseased tooth with food. Spontaneous pains are extremely rare - only in the case of already running pulpitis.

Now let's briefly talk about the eruption of milk teeth and their change to permanent ones. The first milk teeth appear at about 7-8 months, and by the age of 2.5 a small person should already have a “full set” - this is 20 milk teeth. Moreover, if up to 2.5-3 years there is a short period of stabilization, then the gradual resorption of the roots of milk teeth begins. By the age of 7, there is a change of central teeth - incisors. At the age of 9-10, the chewing group changes. But the "long-livers" fangs can stand up to 11-12 years. It is important to note that these are approximate terms for eruption and change of teeth. And today they are quite strongly shifted, mostly to the earlier side.

Each age has its own dental “surprises”

While adults have a similar set of dental diagnoses and complications throughout their lives, each age period has its own characteristics for children. So, what should you be prepared for...

The main appeal in infancy is a short frenulum of the tongue. Most often, this problem is detected by district pediatricians who observe the baby in the first year of life.

What to look for: if the baby does not take or suckle the breast well, does not grasp the nipple or nipple correctly, gets tired quickly, cries, does not eat, loses weight, a short frenulum may be one of the reasons.

Solution. This problem is easily and in a few seconds corrected by cutting the frenulum of the tongue. At the age of 3-5 months, this does not even require anesthesia, since the operation is absolutely painless and bloodless, because the mucosa is very thin and there are no complex strands.

Tip. If the diagnosis is made, do not delay the operation so that it really goes quickly and painlessly.

As we said, it is from 6-7 months that the first milk teeth appear, and by the age of two, all teeth should erupt.

Age after 1 year becomes critical at this stage. It is during this period that the first caries appears, and after it - quite rapidly - pulpitis. What are the causes of these diseases at such an early age?

Reason #1. Night feeding. Just imagine: your child drank breast milk at night (and it is very sweet), kefir, compote or juice. The remnants of food or drinks literally "stick around" the teeth, and mainly flow to the upper teeth from the side on which the child sleeps (which is why we treat the upper teeth much more often than the lower ones). At night, the secretion of saliva is reduced, it is practically not produced, just like in adults.

An ideal environment is created for the development and reproduction of bacteria, which begin to gradually destroy the tooth enamel, which leads to the so-called caries in the stain stage. And indeed, if you look closely, white spots are visible on the teeth. Then the tooth itself begins to crumble. Caries rapidly reaches the pulp ...

This disease even received the honorary title - "bottle caries". However, the name of this disease is very conditional, and the word "bottle" should not mislead parents. That is, the cause of its occurrence can be both breastfeeding and drinking juices and compotes from a bottle or from a spoon.

BTW! According to the localization of the "bottle caries", doctors can determine on which side the baby is sleeping.

Reason #2. General somatic ailments that are most often inherent in premature babies and babies whose mothers suffered from toxicosis during pregnancy. With severe toxicosis, a woman experiences a violation in the phosphorus-calcium metabolism, which, in turn, leads to violations of the maturation of the enamel of milk teeth.

Reason #3. Lack or inadequate dental hygiene.

Solution. When caries occurs, the only way to treat can be only drilling of the affected tooth tissues and replacing them with filling material.

If we talk about the treatment of pulpitis of chewing teeth in children, then we remove the pulp from the crown (!) part, put a special medicine and close it with a filling. Only in 10-15% of cases, when the nerve is severely inflamed, it is necessary to remove it entirely, clean and flush the channels. This does not affect the rudiments of permanent teeth. Physiological processes proceed as they should: the roots gradually dissolve, the milk tooth falls out, and the permanent one takes its place.

The most difficult part is the treatment of the central upper teeth (incisors), as they take a long time to restore. First, we completely remove the nerve, fill the channels with a special material, and put a filling. Treatment of one tooth takes an average of 30-40 minutes. Now ready-made crowns facilitate the work. There are metal crowns (“3M” and “New Smile”) covered with enamel. They repeat the shape of the tooth, very durable. And for their installation, turning and casts are not needed.

BTW: Even a carious cavity “on contact” (that is, at the point of contact with an adjacent tooth) must be treated as pulpitis - that is, with amputation (removal) of the pulp from the coronal region.

The fact is that if only caries is treated and the infected pulp cavity is closed with a filling (and it is impossible to determine by eye whether it is infected or not), then the missed inflammatory process will rapidly begin to develop. And after 1-2 months, this tooth will again have to be treated, only this time - from pulpitis.

Tip. To maintain healthy teeth, it is necessary first of all to abandon night feeding. The only thing you can give your baby at night is plain water. And as practice shows, the children of those parents who heed our recommendations keep their teeth healthy for quite a long time.

Secondly, parents should know and remember that the appearance of the first tooth, that is, the age of 6-7 months, is the best time to start the obligatory daily brushing procedure. Today in any pharmacy you can buy special toothpastes for children from 0 to 3 years. A special brush is put on the finger, and the teeth are cleaned. The rules for brushing your teeth are very popularly explained in the instructions that come with the toothpaste. And we, for our part, are always happy to show and tell how this is done in practice. After cleaning, the remnants of the paste are carefully removed with a napkin or . .. eaten by the baby (and this is completely safe!). And you need to brush your teeth, like adults, 2 times a day - in the morning and in the evening.

Thirdly, teeth with a long "life span", and these are primarily chewing teeth (they are also the most susceptible to caries), need to have preventive fissure sealing (fissure - depressions on the surface of the teeth, which are located in the chewing surfaces) in age 2 years old. It protects the chewing surfaces of the teeth from caries. First, we clean (ream) the tooth a little, and then cover it with a special compound that “seals” the tooth and protects it from caries.

And fourthly, starting from the age of 2, a child's diet should contain solid food - carrots, apples, dryers, bagels. The fact is that the abundance of soft food does not stimulate the roots of milk teeth to resorption, and as a result, the permanent teeth come out second next to the milk teeth. Solid food also affects the formation of the correct bite. In addition, it mechanically cleans the teeth. And do not be afraid, healthy teeth will not break because of this, since enamel is the hardest thing in the human body.

BTW: In many children, the rudiments of permanent fifth teeth are not formed at all. According to one theory, this happens just because in the diet of modern kids, soft food plays the “main violin”, and there is no solid food. Since there is nothing to chew - why teeth? , perhaps, can be called a period of physiological calm. But starting from the age of 5, the risk of caries increases again.

Reason. This process is physiologically determined: the jaw grows, the front teeth (incisors) move apart - the so-called diastemas appear. Because of this, the lateral, chewing, teeth "bunch", that is, the distance between them decreases. Since they are too close to each other, it is difficult to clean them properly. There is a so-called "caries on the contacts", that is, in those places where the teeth are in contact with each other. And as well as possible, this process is facilitated by the remnants of food stuck there.

BTW: The most common reason for visiting a pediatric dentist is caries, which quickly turns into pulpitis.

Solution. At this age, the doctor decides whether to treat or remove a tooth, depending on which tooth is affected and what is its “life span”. For example, incisors that fall out as early as 6-7 years old do not make sense to treat - such a tooth is removed. Chewing teeth that last up to about 10 years, or fangs that change at 11-12 years old, are worth fighting for.

Tip. The only way to avoid caries "on contacts" is to carefully clean out food debris, especially between chewing teeth where they come into contact with their neighbors.

This advice also applies to children whose teeth have had their teeth sealed at an earlier age as a preventive measure. Recall that a special composition can seal and protect only the chewing surfaces of the teeth, and the contact surfaces still remain in the "risk zone".

At the age of 5-6 years, speech therapists often refer to the correction of the frenulum. If at an early age the bridle prevented sucking, now the child may begin to burr because of it, and does not pronounce some of the sounds. At this age, the frenulum is cut with a laser - it is painless and bloodless.

Silver your tooth!

Yes, some clinics still offer such a method of caries "treatment" as "silvering". And then the patients of these clinics come for retreatment. It is fair to say that "silvering" teeth is not a treatment at all. This technique is indeed still widespread, despite the fact that it is completely ineffective. Silver closes the caries that has begun, but does not cope, as promised, with the pathological process, which develops safely and is further aggravated under the "silver". Teeth are stained and blackened. A few months after such a “therapy”, the children again go to the doctors, but with pulpitis (at best) or with black, decayed teeth that have to be removed.

Come visit us… as often as possible

So at what age should you start visiting the dentist, you ask. We answer…

Planned medical examinations start at the age of 1 year. This is due to the fact that now dental diseases are early and fast-flowing. The frequency of visits depends on the susceptibility to caries. If we have treated most of the teeth up to 2 years, then it is necessary to carry out professional examinations every 3-4 months. If the teeth remained healthy up to 2 years, then it is enough for these lucky ones to see a doctor once every six months. Some parents bring their children to the dentist once a year, but this is too rare: since the processes are fast, there is a risk of missing caries in the initial stage.

We not only monitor the current state of the teeth and “catch” caries at the initial stages of development, but also try to predict how the jaw will develop and teeth will form in the future.

Depending on the indication, professional examinations can also be combined with professional dental cleanings, such as AirFlow. The frequency of this procedure depends on how carefully the parents or the baby himself brushes his teeth. Someone needs professional cleaning once a month, someone - once every six months.

Pediatric dentist - generalist

It is true, because he is both a surgeon and a therapist. It is from the pediatric dentist that the overall dental health of a small patient depends.

But besides this, one of his tasks is to "catch" a child with a malocclusion and refer him to another doctor - an orthodontist. And, believe me, it is better to do this at 4 years old than at 14, when not his mother, but he will take his mother by the hand and say that he has “crooked teeth”. After all, malocclusion is much easier to fix on plates that are placed at the stage of milk teeth, and not on braces. In addition, it is much cheaper.

Orthodontist: come on time

The smallest orthodontist's patients are children aged 3 years who had their front teeth - incisors removed. In this case, the doctor will be able to replace the missing teeth with plates - then it will become more convenient for the child to chew, new teeth will come out correctly and the jaw will develop.

Malocclusion can be traced at the stage of mixed dentition, that is, approximately at the age of 5 years, especially when the permanent 6th teeth begin to erupt. Also, the reasons for the formation of malocclusion at this stage can be:

• diastemas (gaps between teeth) or, conversely, crowding, which may appear when the jaw is preparing for a change of teeth;
• Anatomically small jaw where strong and large permanent teeth may not fit.

Only an orthodontist can correct an overbite at an early stage. And, of course, the attending physician will always tell you when you need to look into the office of a colleague.

Does pediatric dentistry have its own specific features? What difficulties do you have to face?

The main and main feature is, first of all, work with small children. If it is sometimes difficult to “negotiate” with an adult, then with a baby you have to resort to all sorts of tricks and tricks. Very often we have to deal with “bribery” from parents who promise their child to buy “anything”, if only the baby would open his mouth and let the doctor treat his teeth. We are against it. The child needs to form the right motivation and, in the end, make visiting the dentist a pleasant (in the truest sense of the word) event. It is this task, in addition, of course, to the actual treatment, that we set ourselves as one of the most important and we are working in this direction, and very successfully.

Another peculiarity is the use of anesthesia in pediatric dentistry, since it is almost impossible to establish adequate communication with children under the age of 3, they simply do not have enough perseverance. The need for anesthesia is also due to the large volume of treatment. Unfortunately, today we see very young children - 1 year and 2-3 months old - with already numerous and neglected caries.

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