protesi fissa o mobile

FIXED-BEARING OR MOBILE-BEARING PROSTHESIS?

A mobile-bearing prosthesis makes life unstable!

The loss of one or more teeth can cause severe relationship problems, which add to functional and aesthetic ones.

Our goal is to give naturalness to your social everyday life and guarantee a correct chewing and a healthy nutrition.

Prostheses are classified into fixed- and mobile-bearing ones on teeth or implants.

Single crowns are used when teeth are too damaged to be rebuilt with fillings or inlays. We use the root and the entire healthy part of the tooth emerging from the gum. In case of loss of a dental element, we make use of artificial roots called implants.
In some rare cases, in order to restore a missing tooth, we have to proceed with a dental bridge, by refining its neighboring teeth.

Dental bridges are those structures which link one or more teeth with one another in order to repristinate missing teeth.
Blockades are bridges between neighboring teeth. Bridges on natural teeth are less and less frequent because it is preferable to restore the empty space with one or more single tooth implants, as to repristinate normal dentition. We talk about bridges when we join two or more implants far from each other.

Dental facets, inlays and barely invasive crowns belong to this category.
The function of DENTAL FACETS is to modify the tooth aesthetics when its shape or color are not harmonized with its neighboring teeth. They are services of a less functional value, but which can drastically improve the aspect of our smile.

INLAYS are big fillings made in the lab and then cemented on the remaining healthy tooth. Their function is to restore occlusion by avoiding the tooth devitalization.

BARELY INVASIVE CROWNS are used to re-establish occlusion in cases of severe decay of the dental surface. They can be done on vital or devitalized teeth and spare a big part of the healthy tooth from polishing.

We talk about partially mobile-bearing prostheses when they involve some missing teeth and totally mobile-bearing ones when the dental arch is completely edentulous.
Partially mobile-bearing ones are formed by a metal structure called removable partial denture which has hooks to anchor to residual teeth. Totally mobile-bearing ones are called dentures. They are attached to the edentulous mucosa because of a sucker effect, but they can sometimes be anchored to residual roots or to two or more implants.

They are totally mobile-bearing prostheses fixed to residual teeth or implants.
Hybrid prostheses are a halfway solution which make the prosthesis function safer. They are particularly recommended to the elderly. Implants can be linked to prostheses individually by using an o-ring or a precision bar.

The challenge of the Vignato Dental Clinic is the perfect smile.
In order for edentulous patients to have a natural fixed dentition on implants, we invented the MOGUL prosthesis which represents a new life proposal.

It enables edentulous patients to have back aesthetics, function, cleanliness and hygiene.
Aesthetics refers to the joy of a smile.
Function means being able to eat without fear.
Healthy gums guarantee a good oral hygiene.

 All dental offices can do implants, but few dentists achieve an excellent result.
The Vignato Dental Clinic has a ten-year experience in implantology and is equipped with two operating rooms dedicated to this activity.
Implantology replaces missing teeth with titanium roots surgically inserted in the bone.
Implants can support single teeth, groups of teeth or Toronto prostheses modified with the Moguls technique.
Implants enable us to replace missing teeth and keep our natural teeth healthy.
The use of modern CAD CAM techniques enables us to carry out fast, less invasive treatments which guarantee effective and functional results.
Our success is guaranteed by the use of scientifically reliable materials, the presence of a prepared team and the use of operating rooms, thus enabling us to operate in complete sterility.
Nowadays implantology represents a small miracle because new materials perfectly integrate with the patient´s tissues, stimulate the bone growth and enable a functional and aesthetic rehabilitation as on natural teeth.

It guarantees the same function of natural teeth.

The prosthesis’ stability can be improved with a mini-invasive intervention using two-three implants, which can also be done in elderly patients.
Implants can be immediately used and are linked to the prosthesis with automatic buttons.
We are often able to reuse our old prosthesis.
Should the mobile-bearing prosthesis represent a problem in your social life, then you will be able to change to a completely fixed-bearing Mogul one.

By performing an implant which will prevent its opposing tooth from coming out and its neighboring teeth from migrating, thus altering the chewing.

The choice should be made after consulting the dentist who will evaluate the particular situation of each patient.
In general terms, if teeth close to the one to be replaced have not experienced interventions and are intact, we advice to insert an implant, so that they are not being damaged.
If neighboring teeth have undergone relevant interventions, we advice to proceed with a bridge, so that damaged crowns can be protected.

Anyone with a completed bone growth and in good health can get implants.

Diabetes mellitus is an important risk factor only if the patient is constantly unbalanced.
Those under therapy can easily face the positioning intervention of implants. It is advisable to perform the treatment in the morning, right after breakfast and with the glycemia under control.
It is essential that, after the intervention, health conditions remain good.



It is a simple intervention which usually takes an hour.
Being a little traumatic type of intervention, recovery is fast and has no consequences. It is therefore important to follow some pre- and post-surgical rules.
Stitches are removed during the regular check-up after 7 days.
Implants inserted by the transmucosal way, technique applied only in certain limited situations, do not need stitches because the gum is not surgically cut, but pierced together with the bone, allowing an even faster recovery.

 

There is no limit! It all depends on the precision and cleaning of the product, periodic check-ups, domestic oral hygiene and the dental hygienist who is treating you.

Materials used in the production of implants are highly environmentally friendly and allow to avoid cases of rejection.
However, it can happen that implants do not integrate in the bone, thus simulating a rejection. Reasons depend on the insertion phase of the implant, the sterility degree of the environment in which we operate and the quality of the dental prosthesis used.

Yes, it is. This technique is defined post-extractive.
In such cases, we use implants with specific spirals able to attach to the wall with the space left by the extraction.

In the Dentisti Vignato Clinic crowns and bridges are always screwed to implants.
The reason is simple: they are easy to remove and clean.
In some cases, however, anterior teeth must be cemented to implants.

Yes, you can.
In the upper maxillary tooth we use a technique called sinus increase.
In the mandibular crest we can perform bone grafts or split crests consisting in a specific guided bone fracture.

Yes, smoke can significantly increase the chances of early loss of implants. It is therefore advisable to reduce smoke and take good care of your oral hygiene.

Immediate loading implantology is a widely spread technique which enables to reach an immediate functional and aesthetic rehabilitation by inserting a temporary prosthesis right after inserting the implant.
In general, in order to carry out immediate load implantology, it is necessary that preliminary X-rays allow it, even if it is confirmed only on the occasion of the surgery.
Immediate loading depends on various factors such as: bone quantity and quality, quantity of soft tissues and the implant position which should immediately show a good primary stability.


Guided surgery is a method to plan surgery with the use of a software. It allows to insert endosseous implants in dental arches in a little invasive and fast way and in just one session.
The program uses accurate surgical guides and enables us to insert implants exactly in the desired position, without cutting the gum to see the bone.
Moreover, the chance to plan the entire procedure allows us to plan and perform a fixed prosthesis independently from the surgical intervention.
It is therefore possible to simultaneously insert it in the implant.

They are traditional implants with a reduced hight and a greater length. They are used where the lack of bone does not enable to insert implants of normal dimensions. Their duration in time can be less certain than the one of a normal implant.
Mobile-bearing prostheses usually offer less chewing force, they need to be removed to be cleaned and discourage relationships between people.


Partial prostheses linked to natural teeth can overload support teeth and make them unstable, thus facilitating dental cavities.
Total prostheses rub the mucous membrane during the normal chewing movement and therefore reabsorbe the bone and increase the necessity of continuous rebasing.
Mobile-bearing prostheses are not advised to young people because of the severe bone reabsorption which can occur over time. Partial prostheses appear mediocre due to the difficulty of concealing anchorage hooks, while total prostheses do not always result natural.


Our face, mouth and bones change over time, thus damaging the prothesis´ aesthetics and stability. In patients who lose much weight during their life, the prosthesis seems to become out of proportion.
The gradual bone reabsorption can also require constant rebasings which, in time, make the prosthesis thicker, thus limiting the ability to speak.