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What does the world cost?

A Happy couple "There is hardly anything in the world that someone cannot make a little worse and sell a little cheaper, and the people who consider price alone are that person's lawful prey.
It is unwise to pay too much, but it is also unwise to pay too little. When you pay too much, you lose a little money, that is all. When you pay too little, you sometimes lose everything because the thing you bought is incapable of doing the thing you bought it to do. The common law of business balance prohibits paying a little and getting a lot... It can't be done.
If you deal with the lowest bidder it is well to add something for the risk you run. And if you do that you will have enough to pay for something better."
John Ruskin - English social reformer (1819 - 1900)

Actual articles

A telescope implant treatment

A telescope implant treatment

by Ulrich Heker DTM, published by http://www.dta-uk.org

Or “When black OR white are not the only solutions”

As a dentist, you are often faced with situations where black or white, prosthesis or implant, are not the only options. This is a case study of a telescope implant treatment (Kennedy Class 1) in the upper jaw of a female patient. Ulrich Heker (Master Dental Technician) describes the treatment of a UK patient with a completely detachable prosthesis based on telescopic implants, combining the best of both technologies to provide an optimal solution for the client, at a reasonable cost.

Case history

The patient presented a unique challenge for the dentist. The 55 year old female had worn a classical gold/gold telescope prosthesis for many years. The original elegant work had evolved over the years through repeated extensions and relining. Finally, with a base completely covering the palate, it had mutated into a full denture. The patient did
Individual attachment  No clasps! 3

Individual attachment No clasps! 3

by Ulrich Heker, Master Dental Technician & Chris Thomas, PhD (Molecular Biology)



In this last article we looked at telescopic or double crowns and their application in the production of removable dentures. Here we will consider another alternative – attachments – that also make use of precision milling.
Attachments are elements for linking removable prosthetics with existing teeth (abutment teeth). These require crowns in order to accept the attachment. They can be used with removable prosthetics and with crown and bridge techniques. They comprise a primary element that is permanently cemented in the oral cavity and the secondary component that is firmly linked with the actual prosthesis. Attachments are particularly applicable when it proves impossible to produce parallel abutment teeth simply. The attachment is used to create a bridge between misaligned abutment teeth such that a secure insertion becomes possible.

Types of attachments

Attachments are divided into two groups, intracoronal attachments and extracoronal attachments. Both types are available either as
No Clasps Please! Precision milling Part 1

No Clasps Please! Precision milling Part 1


Dental Prosthetics with Precision Connecting Elements. by Ulrich Heker Owner-Manager of TEETH‘R’US, Corneliastr. 17, D-45130 Essen; www.german-smile.info


Patients in other European countries are increasingly conscious of the aesthetic potential, practicality and cost effectiveness of precision connecting elements, such as telescopic crowns and attachments. Whilst relatively unknown in the UK, the methods are within the reach of UK dental practitioners with recourse to good dental technicians and this article gives an illustrated overview of the basic principles of precision milling.“Do I really need those ugly clasps with my new teeth!?*
Monoreductor_1037dThese or similar patient thoughts are probably familiar to you as a practitioner. Today’s patient puts an increasing value on their health and appearance in the pursuit of beauty and youth with a rising panoply of services such as Botox, aromatherapy and Ayurveda at their disposal. This includes dental treatment and consequently, interest in unobtrusive and invisible dental replacements without clasps is continuously rising. After all,
Telescopes – Precision dental  2

Telescopes – Precision dental 2

Fig. 3 Copies Telescope prosthesis or double crowns are a proven option for the prosthetic treatment of dramatically reduced dentition. However, the production of such a prosthesis places higher demands on the dental practitioner and the technical laboratory involved.
A telescopic crown always comprises two parts:
  • 1. The primary crown, or coping, which is permanently fixed in the mouth to anchor teeth, and is preferably made from a suitable gold alloy; and
  • 2. The mounted, removable telescopic crown orsecondary crown attached to the prosthesis and made of the same alloy material.

History of telescopes

Ttelescope procedure was first described in 1886 by R Walter Starr and, later, by Goslee and Peeso. Telescope or double crowns thus have their origins in America and not Germany, as the common term ‘German Crown’ might suggest. In Germany, Häupl was one of the pioneers (1929 onwards), as were his pupils Böttger and Rehm, who laid the foundations for the telescope method that remains almost unchanged to