Introduction to Permanent Dentures Humans generally try to maintain their health during their life cycle. If an organ gets damaged, it is first tried to be restored with healing methods.
If it can’t be healed, an alternative solution is created. The same applies to teeth. Teeth can be injured for a variety of causes, and there should be ways to restore function and appearance. There are two types of dental treatments: restorations and prostheses. Restorations restore the tooth’s missing structure with dental materials.
Prostheses are artificial molars that serve as substitutes for missing teeth. A variety of prostheses can be classified into two categories: temporary and permanent. In the field of prosthesis, the procedure entails the development and installation of synthetic teeth to replace absent natural teeth.
and they can be divided into two as temporary and permanent prostheses. Another classification can be done in terms of support. Fixed, removable, and implant-supported prostheses are the three main subclasses of prosthesis types. In this paper, permanent dentures are compared in Germany and Turkey.
Germany and Turkey are two countries in Europe and Asia respectively. They differ from each other in many ways. Germany is located in the heart of the European continent and in the Schengen zone. It has been a country of advanced countries among European countries. High living and working standards can be seen in this country.
Turkey is a nation that spans both Asia and Europe. It is an emerging country that is making efforts to uphold its commitment to international economic norms. .
. German and Turkish health systems differ from each other remarkably. In this aspect, dentistry systems should also differ. This research focused on the comparison of the permanent denture systems of these two countries and aimed to find the differences between Germany and Turkey.
In this research paper, information on both countries’ social and economic backgrounds is given in the first section. Additionally, the type, number, and pedagogical structure of the universities that give dentistry education in both countries are also explained in detail. The scientific articles published in the field of prosthetic dentistry are represented in a time graph between 2020-2016. The comparative analysis of each country in terms of education, health system, economic data, and culture is given in subheadings. Finally, potential solutions are proposed to improve Turkey’s prosthetic denture quality.
Key Features of Permanent Dentures in Germany
Definition and Types
- Permanent dentures refer to bridges or crowns.
- Materials include metal-ceramic, full ceramic, and composite.
- Non-removable structure composed of abutment and denture replacing teeth.
Reasons for Treatment
- Primarily for dental caries (tooth decay).
- Cost of dentures and caries treatment is similar.
Research Methodology
- Study conducted in two German cities (G1 and G2).
- Patient questionnaire (K-BEF) used to assess outcomes.
- Data collected at baseline (T0), four months (T1), and eleven months (T2).
- Panoramic radiographs, clinical examinations, and treatment data reviewed at two years.
Patient Demographics
- Majority of patients were female.
- Mean age ranged from 43 to 83 years.
Treatment Indications
- Most common reason for permanent dentures was crown and bridge treatment.
- Growing group of patients with limited health conditions in G2.
Comparison of Treatment Modalities
- Permanent dentures preferred over removable dentures.
- Bridges more common than crowns.
- Metal-ceramic bridges most prevalent type.
Additional Factors
- Periodontal treatment and core build-up often required.
- Patient age, oral hygiene, and dentition affect treatment outcomes.
- Subjective health-related quality of life influenced by dental factors.
Key Features of Permanent Dentures in Turkey
Turkish Dentists and Their Qualifications
- High number of qualified dentists due to numerous dental faculties.
- English language proficiency among dental professionals.
- International exchange programs and joint education initiatives.
- Competitive environment leading to high-quality service standards.
- Importance of careful dentist selection to avoid potential risks.
Material Quality and Standards
- Use of high-quality materials, including those manufactured in Germany.
- Cost-effective access to premium materials.
- Adherence to international standards and regulations.
Dental Education and Licensing
- Rigorous dental education curriculum.
- Mandatory licensing exam for practicing dentistry.
- Continuing education requirements for maintaining license.
- Emphasis on professional ethics and patient care.
Comparative Analysis of Permanent Dentures in Germany and Turkey
| Aspect | Germany | Turkey |
|---|---|---|
| Survey Distribution | – Online forums, Facebook, WhatsApp, LinkedIn | – Online forums, Facebook, WhatsApp, LinkedIn |
| Survey Respondents | – 167 completed surveys | – 174 completed surveys |
| Geographic Distribution | – North Rhine-Westphalia, Baden-Württemberg, Bavaria | – Majority from Istanbul |
| Gender Distribution | – Majority female | – Majority male |
| Years of Clinical Practice | – More likely to have 6-10 years and over 20 years of experience | – More likely to have 1-5 years of experience |
| Preferred Implant Material | – Titanium | – Varied preferences among implant systems |
| Preferred Restoration Type | – Porcelain fused to metal across all ages | – Porcelain fused to metal preferred until age 65, then independent of age |
| Influence on Preferences | – Learn about implants through congresses and further training seminars | – Influenced more by advertisements and implant company representatives |
| Problematic Survey Questions | – Questions 6, 10, and 15 less problematic | – Questions 6, 10, and 15 deviated more from accepted standards |
Comparative Analysis of Permanent Dentures in Germany and Turkey
Impact of Permanent Dentures on Quality of Life Rationale for Semi-structured Interviews We used semi-structured qualitative interviews with one dentist and two edentulous patients in each country to gain insights into their experiences with and perspectives on permanent dentures, including dentures, crown-bridge prostheses, and implants.
Such interviews are well suited for exploring new topics, and opinions and perceptions concerning them, especially when viewed from different backgrounds, in this case, two countries with different health care concepts 1.
Interview Guide The interviews were conducted through a series of thematic questions. We began with the wider topic of the sociocultural context of the interviewees regarding dental health care access and sought to narrow down more generally to permanent dentures.
For the patients, we initially asked about their general health and dental status, which we then directed towards edentulousness and with it, interest in, access to, and acquisition of permanent dentures. Office hours, distance, and costs of care, as well as acquisition procedures and technical attributes of the final prostheses, were addressed in the interviews with dentists.
Quality of life is a multidimensional concept that encompasses subjective sentiments about a person’s physical and mental health, as well as contentment with material circumstances and social interactions.
Medical rehabilitation aims to restore health and improve one’s overall quality of life. However, the perceptions of these facets and associated psychosocial feelings vary according to numerous factors
2. Edentulism is considered to be one such impediment impacting both the quality of life and likewise nutrition of patients. It is associated with extensive changes in the jawbones and associated structures, which are part of the transition from teeth to dentures and the beginning of a new era of prosthetic rehabilitation and adaptation. This study aimed to evaluate the perception and feelings of users of complete dentures provided by the public health service throughout the course from tooth loss to rehabilitation. From the dynamic character of these feelings, empathy and cooperation of dentists should be required to make the treatment satisfactory and beneficial for patients.
Can you get dentures that stay in permanently?
Permanent dentures are a form of dental implant that are surgically implanted into the jawbone. This is in comparison to a denture which is removable and uses an adhesive to bond them in place. The adhesive means they can be removed and placed back in the mouth whenever required.
Is Turkey good for dentures?
Ground meats are easy to eat with dentures because grinding them removes much of their toughness. Ground meats work in many recipes too-from casseroles to tacos to meat pies. If you don't like the fat content of ground beef, choose lighter ground turkey.
Why are permanent dentures so expensive?
The cost of fixed dentures is of course higher than that of removable dentures. You need to have implants placed to fix your dentures permanently that means it is a surgical process. You need more office visits for maintenance and cleaning since this cannot be done at home.
How long does it take to get dentures in Turkey?
In Turkey, we complete dentures treatments in an average of 7-10 days, depending on the type of treatment. However, when we are going to make fixed dentures such as all on 4 dental implants in Turkey, our patients need to make 2 separate visits to our clinic.
Which is better permanent dentures or implants?
Dental implants are considered as best tooth replacement option because they do not damage your nearby teeth and are permanent. They have a prosthetic crown, a screw, and an artificial root created of titanium. The titanium implant is placed deeply into the jaw and appears like a real tooth root
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