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1. Telescopic technology: revolution in modern dental prosthetics

| Knowledge

Learn everything about telescopic technology, its application, advantages and the latest innovations in dental technology.

The telescopic technique is a revolutionary method in dental prosthetics that offers a unique solution to the challenges of tooth replacement. This technique combines removable and fixed dentures through the use of telescopic crowns that serve as precisely anchored supports for dentures. Often referred to as the "double crown technique," it allows for seamless integration of dentures that are both aesthetically pleasing and functional.

The development of telescopic technology can be traced back to early attempts to create a stable but flexible dental prosthesis. From the early beginnings, where simple crowns served as anchors, to modern precision crowns manufactured using digital technology, telescopic technology has undergone an impressive evolution. This history reflects the progress in materials science and manufacturing techniques and shows how dental innovations lead to improved patient solutions.

Telescopic technology plays an essential role in modern dentistry. It is used especially for patients who have only a few teeth left and for whom a traditional bridge or implants are not available. Telescopic technology offers a versatile and adaptable solution that uses the natural teeth as a support system and helps to evenly distribute the chewing force and preserve the jawbone.

1.1 Basic principles of digital impression taking

1.1.1    Telescopic crown principle

The telescopic crown principle is at the heart of telescopic technology and a key component in modern dental prosthetics, offering an innovative solution for replacing lost teeth. This principle is based on a precise and sophisticated methodology that uses two types of crowns: the primary crown and the secondary crown. Together they form a unique system that allows for both fixed and removable tooth replacement, achieving an optimal balance between stability and flexibility.

Primary crowns: The primary crown, often made of high-quality, durable materials such as non-precious metals or zirconium dioxide , is placed directly on the prepared tooth stump and cemented there. Its main task is to serve as a stable base on which the secondary crown can slide. The surface of the primary crown is designed to provide optimal retention for the secondary crown without damaging the natural tooth or exerting excessive pressure.

Secondary crowns: The secondary crown, which is part of the removable prosthesis, is placed over the primary crown and can be removed by the patient when necessary. It is usually made of a similar or compatible material as the primary crown to ensure a smooth interaction. The inner surface of the secondary crown is precisely molded to the outer contour of the primary crown to achieve an exact fit. This interaction allows the prosthesis to sit securely on the primary crowns without any play, ensuring a high level of comfort and functionality for the wearer.

The combination of primary and secondary crowns in the telescopic crown principle offers several decisive advantages. It enables seamless aesthetics, as the prosthesis looks natural and blends harmoniously into the overall appearance of the teeth. It also offers excellent durability and reliability, as the prosthesis fits firmly but can still be easily removed for cleaning purposes. Furthermore, this principle helps to preserve the remaining tooth substance, as the natural teeth not only serve as a support for the denture, but are also protected by the even distribution of the chewing forces.

Overall, the telescopic crown principle represents a significant innovation in dental prosthetics, making it possible to meet individual patient needs and requirements with a high degree of precision and aesthetics. It symbolizes the advances in dental technology that offer an improved quality of life for people with dentures.

1.1.2    Materials and manufacturing process

The choice of materials for telescopic crowns is crucial for the longevity and functionality of the prosthesis. Modern telescopic crowns are made from a variety of materials, including gold alloys, non-precious metal alloys and zirconium dioxide , which are known for their biocompatibility and wear resistance. The manufacturing process benefits enormously from CAD/CAM technologies, which enable a millimeter-precise fit.

1.1.3    Advantages and disadvantages

The advantages of the telescopic technique include excellent aesthetics, a precise fit and the ability to preserve natural teeth. A possible disadvantage could be the higher price compared to other tooth replacement options, but this is justified by the durability and quality of the solution.

1.2 Clinical application

1.2.1    Indications

The telescopic technique is particularly suitable for patients with partial edentulism where traditional bridges or implants are not possible or desirable. It offers an excellent option for patients who value aesthetics, comfort and non-invasive treatment.

1.2.2    Treatment process

The treatment process begins with careful planning and diagnosis, followed by the preparation of the remaining teeth. The manufacture and fitting of the telescopic crowns requires precision and a deep understanding of the patient's individual needs to achieve optimal results.

1.3 Technological innovations

1.3.1    Influence of digital dentistry

Digital technologies have revolutionized the fitting and manufacturing of telescopic crowns. By using 3D scanning and CAD/CAM manufacturing, dentists and technicians can create prostheses with unprecedented precision, resulting in improved clinical outcomes and patient experience.

1.3.2    Current research and trends

Research is focused on developing new materials and techniques to make telescope technology even more effective and accessible. Innovations such as biocompatible coatings and improved manufacturing processes are the focus of current studies.

1.4 Patient perspective

1.4.1    Patient comfort and satisfaction

Patients often report high levels of satisfaction with telescopic crown-supported dentures due to the improved comfort, aesthetics and ease of care. The ability to easily remove the dentures for cleaning contributes significantly to long-term care and well-being.

1.4.2    Long-term care and maintenance

Regular care and maintenance are crucial to maintaining the function and aesthetics of the telescopic crowns. Patients are encouraged to attend regular dental check-ups and to care for the prostheses according to the dentist's recommendations.

1.5 Conclusion

Telescopic technology offers an advanced and flexible solution to many challenges in the field of dental prosthetics. By combining traditional craftsmanship and modern technology, it enables dentists to create individually adapted, comfortable and aesthetically pleasing dental prostheses. With the continuous advances in material science and digital manufacturing, telescopic technology will continue to play a key role in dental prosthetics in the future.