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Dental prostheses – which restoration fits, what it costs

Crown, bridge or denture: what comes into question when teeth are missing, what health insurance covers and how to recognise a good cost plan.

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Dental prostheses: what it is about

A tooth falls out, breaks off or is so badly damaged that a filling no longer holds. Then a prosthesis replaces what is missing – a crown on your own tooth, a bridge across a gap, a denture for larger areas.

Which restoration fits is decided not by the wish but by the findings: how many teeth are missing, where they are missing, how firmly the remaining ones stand and how much bone is still there. Only after that comes the question of material and price.

Jaw model with a gap between two teeth

When dental prostheses come up

Not every gap has to be closed straight away – most do, though. These are the situations that most often lead to a prosthesis:

  • A tooth has been extracted and the gap remains
  • A tooth has broken off or is deeply damaged
  • An old crown or bridge has become leaky
  • A denture no longer holds
  • Teeth have been lost after periodontitis
  • Neighbouring teeth are tilting into an existing gap

The fixed allowance – the most misunderstood part

Statutory health insurance pays no share of your bill. It pays a fixed amount based on the findings: 60 per cent of the cost of the standard care, 70 or 75 per cent with a maintained bonus booklet. If you choose something more elaborate, that amount stays the same – you bear the difference.

That is why the right question is not „how much does the insurer pay“ but „how far do I go beyond the standard care, and is the difference worth it to me“. How that appears in the treatment and cost plan we explain line by line.

Three ways into the subject

Dental crown on a model

Crown and bridge

Fixed prostheses on your own teeth: when a crown is necessary, what a bridge requires and which material is good for what.

More on this
Removable denture

Dentures

Partial denture, full denture, telescopic denture: what holds, what presses, what can be cleaned – and what getting used to it really demands.

More on this
Documents and a calculator

Costs and health insurance

Fixed allowance, bonus booklet, hardship rule, treatment and cost plan – and how to check a quotation item by item.

More on this

The most important points at a glance

  • Dental prostheses replace missing or heavily destroyed teeth – as a crown, a bridge or a denture.
  • Which restoration fits is decided by the findings: the number and position of the gaps, the state of the remaining teeth, the bone available.
  • Health insurance pays a fixed allowance per finding, not a share of your bill. With a bonus booklet it rises to 70 or 75 per cent.
  • The treatment and cost plan shows the fixed allowance and your own share separately – anyone who can read it compares quotations in minutes.
  • With a low income the insurer covers the standard care in full (hardship provision).

Answered briefly

Frequently asked questions

Dental prostheses replace teeth that are missing or so badly damaged that a filling no longer holds. They include crowns on your own teeth, bridges across gaps, and partial and full dentures.

Fixed: crown and bridge, also on implants. Removable: partial denture, full denture and telescopic denture. Plus combined work that joins the two.

That depends on the findings and on the restoration chosen. A metal crown is in the mid three-figure range, a three-unit bridge in the four-figure range, a telescopic denture well above that. Only the treatment and cost plan is binding.

A fixed allowance per finding: 60 per cent of the cost of the standard care, 70 per cent with five years of a maintained bonus booklet, 75 per cent after ten years. The amount stays the same even if you choose a more elaborate restoration.

There is no best one. There is the one that suits the findings: the number and position of the gaps, the condition of the remaining teeth and the amount of bone available.

Crowns and bridges are at around 90 per cent after ten years. What matters is not the material but the care of the margins and the condition of the abutment teeth.

A crown two appointments within about a week, a bridge two to three appointments in two weeks, a denture four to five appointments over three to six weeks.

Usually yes. Broken dentures can often be repaired in the laboratory within a day. Important: do not glue anything yourself – superglue makes a clean repair impossible.

Keep the crown, do not put it back yourself and do not glue it. An appointment within the next few days is enough; until then chew carefully on that side.

Yes. Bridges, partial dentures, full dentures and telescopic work manage without implants. Implants are one option, not a precondition.

The Zahnersatz-Berater is an independent information portal for patients – with no advertising, and none of these pages replaces an examination. Under News you will find current reports, under FAQs the short answers. Dental implants are covered by the Implantat-Berater, gums and bone loss by the Parodontologie-Berater, misaligned teeth by the KFO-Berater.