Missing All Teeth
Although many patients have no problem wearing an upper denture, it is not uncommon for people to find it difficult to wear and eat with lower dentures. Several implant-supported replacement options are available if you are missing all of your lower teeth.
Ball or O-ring Type Attachment Denture
One option is to have two – four implants placed in your lower jaw and a denture made that snaps onto these implants. This option allows your lower denture to be more stable and improves retention while chewing compared to a denture without implants. However, the denture is not fully supported by or fixed to the implants, there will still be movement of your lower denture, and sore spots will occur if any food particles, especially seeds, are caught under it. As with all removable replacement teeth, you will need periodic appointments for denture adjustment.
Bar Attachment Denture
Another option involves placing four to six implants, depending on your jaw size or shape, into your lower jaw. After healing is complete, the implants are connected with a custom-made support bar. Your denture will be made with special internal retention clips that attach onto the support bar, enabling the denture to snap firmly into place. This is called an “overdenture.” The advantage of this option is that it is more stable than the first option and allows very little denture movement. Your denture is still removable for easy cleaning and maintenance.
Screw Retained Denture/Hybrid Prosthesis
A third option involves placing four or more implants in your jaw and attaching a permanent denture. Your denture is held in place by screws or clasps that secure it to the support posts or bar. It doesn’t touch the gum tissue, which allows you to clean under the denture without removing it. This denture will replace all your missing lower teeth and will not be removed except at maintenance visits by your dentist. Although cleaning under your denture without removing it is more time consuming and requires more dexterity, many patients who want a permanent denture prefer this option. This option is not limited to the lower jaw and offers a good solution for replacement of upper teeth as well with no need for acrylic (plastic) on the roof of the mouth.
The final option is to have all your teeth individually replaced so that they will appear to be growing out of your gum tissue and will most closely resemble the appearance of your natural teeth. This option usually requires eight or more implants. Separate abutments or support posts for each one of these implants will be made and crowns for each missing tooth will be placed. Overall, this is the most costly option, because it requires the most implants and individual replacement tooth fabrication. Your replacement options may also be limited by the current size and shape of your jawbone.
What If I’m Missing All Of My Upper Teeth?
A similar range of treatment options is also available for your upper jaw. However, because the bone is not as hard as that in the lower jaw, people often need more implants to support their new replacement teeth. Depending upon the number of implants to be placed, it may be possible to eliminate the need for covering the roof of your mouth with a complete denture. This option allows you to fully taste your food and gives you a better sense of its temperature. Your prosthesis will feel more natural.