Pre-prosthetic treatment
This includes the following measures:
Improving hygiene capability by dissolving bottlenecks
The positioning of tilted molars
The attached distribution of abutment teeth
The lengthening of broken teeth
The preparation of an implant placement by opening gaps
The preparation for long-term top results
Pre-prosthetic treatments are used when the teeth need to be prepared orthodontically for the insertion of implants or dentures, such as bridges and prostheses. This often allows the dentist to achieve a better starting position in less time. As orthodontists, we straighten the teeth and the dentist then treats the gaps between the teeth.
We are therefore happy to assist you and your dentist to successfully complete the treatment in close cooperation.
Frequently asked questions about pre-prosthetic orthodontics
What does "pre-prosthetic orthodontics" mean?
Pre-prosthetic orthodontics refers to orthodontic measures that are carried out before prosthetic treatment with crowns, bridges or implants. The aim is to optimize the position of the teeth, gaps and bite so that the dentures can later be inserted in a stable, functional and aesthetic manner. This facilitates the work of the dentist or implantologist and improves the long-term result.
When is orthodontic pre-treatment before dentures advisable?
Pre-prosthetic treatment is useful, for example, if teeth are tilted into a gap, if there is too little or too much space for a crown, bridge or implant or if the bite is unfavorably distributed. Even in the case of severely rotated or tilted teeth that are to serve as abutment teeth, prior straightening or position correction may be necessary. In this way, costly compromise solutions or unnecessary loss of tooth substance can often be avoided.
What are the advantages of pre-prosthetic treatment for crowns, bridges and implants?
If the rows of teeth are prepared orthodontically prior to tooth replacement, crowns and bridges can usually be axially loaded and ground more gently. Implants can be placed in more anatomically sensible positions, which can reduce bone build-up and subsequent problems. Overall, the chances of a long-term stable, easy-to-clean and aesthetically pleasing restoration increase.
How does pre-prosthetic orthodontic treatment work and how long does it take?
The first step is to plan together with your dentist or implantologist to discuss which teeth are to be restored later and how much space is required. Subsequently, fixed braces, aligners or special appliances are used to straighten teeth, open or close gaps and harmonize the bite. The duration depends on the extent of the correction and ranges from a few months to around one to two years; we will discuss the expected time frame with you before treatment begins.
Is pre-prosthetic treatment also possible for periodontally damaged teeth?
Yes, careful orthodontic treatment can also be useful for periodontally damaged teeth, for example to straighten severely tilted teeth or to better distribute bite forces. However, this requires that the gums and periodontium have previously been stabilized by periodontal therapy and are closely monitored. In such cases, we work closely with the treating dentist or periodontist and plan particularly gentle tooth movements.
Who plans the pre-prosthetic treatment - orthodontist or dentist?
The best solution is created when the orthodontist, dentist and, if necessary, implantologist plan together. The orthodontist is responsible for correcting tooth movement and the bite situation, while the prosthodontist or implantologist determines the prosthetic target position and type of prosthesis. In our practice, we coordinate the treatment steps with your practitioners so that all measures are optimally coordinated.
Does health insurance cover the costs of pre-prosthetic orthodontic treatment?
The assumption of costs depends on the initial situation, the severity of the malocclusion and your insurance. Statutory health insurance companies usually only cover the costs for adults if there is a very pronounced jaw anomaly; in many other cases, pre-prosthetic orthodontics is a private service or is partially reimbursed by private health or supplementary insurance companies. Before treatment begins, you will receive a transparent treatment and cost plan, which you can submit to your insurance company to clarify possible reimbursements.
