Implant or Dentures? How to find the right option for you
When it comes to dentures, if you have missing teeth, you have many choices, and perhaps you might be thinking: “Should I choose an implant or dentures?” and you are not alone. There are many factors that must weigh into your decision. Which dental prosthesis is the right one will depend on various factors, in particular on your overall health and preferences. We recommend speaking with your dentist about what is right for you, but below, we have given you some information on each type of procedure and prosthesis, including full dentures and implants.
What are the advantages and disadvantages of full, removable dentures?
A removable full denture is the standard solution in the event of complete tooth loss and is generally by far the cheapest variant of the denture if you are missing all of your teeth. The prosthesis has a complete row of teeth made of plastic, embedded in a gum-colored plastic base that follows the course of the jaw. In the upper jaw, the full denture also covers the entire palate, which can lead to impaired taste sensation and irritation when speaking. On the other hand, the large area of the palate covering the upper row of teeth offers a relatively strong hold, especially when an adhesive cream is also used. The smaller adhesive surface in the lower jaw, where the space for the tongue has to be left free, makes the seat of the lower teeth less secure. In addition, full dentures have the problem that the lack of pressure from the teeth on the jaw gradually reduces its bone substance. An atrophied jaw ultimately offers a full denture less and less support and leads to a sunken appearance of the face.
Some things to think about with regards to full dentures are as follows:
- They are a relatively cheap solution if you are missing all your teeth
- They offer replacement of function and aesthetics without waiting
- They offer later adjustment possible after the wound healing phase has ended
- Their aesthetic result sometimes unsatisfactory compared to other solutions
- There is a risk of bone loss associated with full dentures
- Some patients report a sensitivity to taste and have issues with articulation in speech
- Some patients report insufficient hold in the lower jaw
- Restrictions on the types of foods you are able to eat comfortably
When choosing between a dental implant or dentures for missing teeth, you should pay attention to the differences in material and the effect it has on the everyday functions you need, such as tasting and chewing food and speech.
Dental Implants
With the implant you have the advantage that the artificial tooth root is made of titanium or zirconium oxide. This root is implanted into your jaw during a surgical procedure in which anesthesia is used. Once this implant is healed (usually a few months later), you can have an all-ceramic crown placed on top. The materials used in implants are generally completely compatible with your body’s chemistry and allergic reactions are rare. Since an implant becomes a permanent part of your jaw, you have increased stability and functionality with an implant that you will not experience with dentures. The implant is a solid and stable solution.
Where are the costs higher?
What you choose is also a financial question. For full dentures, the time and money you invest is generally much lower than with implants, as no surgery is needed.
Aesthetics: which solutions are more natural?
Both options are have high aesthetic value and are usually indistinguishable from your natural teeth. The main differences, as discussed above between dentures and implants are in their overall comfort and function. However, implants are recommended, especially in the anterior region, which are precisely integrated into the existing row of teeth and perfectly matched to your natural teeth in shape and color.
What's the difference in treatment?
If your jawbone has receded or if you are prone to problems with your gums, the question is easy to answer. For a dental implant, preparation in the bone structure and treatment of gum problems would be necessary, so that the time until the finished result can be delayed by a few months, which is much longer than you will experience with full, removable dentures. For complete dentures, your mouth is measured and molded, and precisely-fitting plastic will fit around your gums, which, with the help of dental adhesive will make the dentures stay in place. Complete dentures are less invasive than implants.
With which solution are the risks greater?
Both complete dentures and implants are made of high-quality materials that are usually harmless to your health. With an implant, risks cannot be ruled out during treatment, as the stability of your jawbone serves as the basis for a fixed and durable implant. Despite positive prognoses, problems with the artificial tooth root used can arise during the healing period. If your gums become inflamed or if the preparatory bone structure does not succeed, an implant treatment is not possible. To avoid risk and make the best decision between one, trust your dentist and get a second opinion when in doubt.
Which is more painful?
Since the dental implant is a surgical procedure, the risks are automatically higher and temporary pain can occur during the healing period. If you want a painless and quick solution, you might find complete dentures preferable.
Prevention of bone loss
Another advantage of an implant is that the jaw continues to be stressed. The insertion of the artificial tooth root ensures that the jaw is loaded, and the jawbone does not recede. With regular denture wearing, bone loss can occur due to the dentures constantly rubbing on the jawline and gums.
As you can see, there are many factors to think about when deciding on which solution is best for your missing teeth. Talk to your dentist; he or she will help you examine all aspects of your options and together, you will find the right solution for you.