8 Fixed solutions, whether for small or large gaps or for edentulous jaws A fixed dental restoration in the form of crowns or bridges can be inserted using dental implants to restore small or large tooth gaps or if all posterior teeth are missing. The restoration is either cemented onto abutments that are inserted into the implants or screw-retained in the implants. Without implants, natural and healthy teeth would have to be ground to insert a bridge to replace a tooth, or the dental technician would have to fabricate a removable denture. On this and the following page, you will find an overview of different restoration options giving examples of different situations with dental implants. Both fixed and removable restorations are illustrated here. Conditionally removable bridge constructions, that is to say screw-retained solutions, also increase the quality of life in patients with lower bone volume. These restorations can be removed by your dentist during check-up appointments, for example for cleaning. Most of these restorations are also possible for the upper jaw as well. However, due to the stability of the upper jawbone, more implants are needed for certain reconstructions than in the lower jaw. Implant restoration to replace a central incisor. The dental implant helps to preserve both the bone and gingiva in the long term. Gaps in the tooth row can be closed in different ways - with a cemented bridge, a removable partial denture or with the aid of a crown restoration on an implant. In the case of a bridge, the adjacent teeth on both sides need to be ground to close the gap. The replaced tooth is not connected to the bone. Without bone training, the gingiva and bone can degenerate over time.
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