Permanent Dentures
A permanent denture is a denture that cannot be taken out by the patient like traditional denture, and is often referred to as an implant supported denture, or an all-on-4. A permanent denture is secured in place using dental implants and will not slip or shift when the patient is eating or speaking which can be a problem for patients with traditional dentures. Depending on the number of teeth to be replaced, a permanent denture can be full or partial. Advances in dental technology have made it possible for a patient to have a permanent denture placed, which can be a life-changing treatment!
Some patients feel that traditional dentures put limitations on their daily social, romantic and even professional lives. Many patients even avoid eating some of their favorite foods and continue to live with a denture that is uncomfortable and holds them back.
Benefits of a Permanent Denture
One of the biggest complaints that patients with a traditional denture have is the lack of comfort. Since a removable denture is held in place with adhesive and suction, they said above the gums surface and can rub an irritation on the gum tissue or even a slip out of place. A traditional denture can also lead to deterioration of the jaw bone as there is nothing in place to stimulate bone regeneration. A dental implant helps combat bone deterioration by acting like the root of a tooth and helps stimulate bone growth. Bone health is one of the reasons that an implant supported dental restoration may actually be the healthier option.
Even though having a permanent denture placed requires dental implant surgery, the Time and effort are typically well worth the stability and security that a permanent denture offers. Patients can reclaim their life and avoid an embarrassing denture slip while eating and socializing with a permanent denture.
A lot of patients also find that a permanent denture is more natural looking and aesthetically pleasing than a traditional denture. A permanent denture is significantly more expensive than a traditional denture but the aesthetics and stability that accompany a permanent denture is often worth the cost for most patients. A permanent denture also has the added advantage of an extended lifespan. A traditional denture will need to be replaced much more frequently than a permanent denture so a permanent option could be the most cost-effective choice in the end. Dental implants can last a lifetime and while the denture may need to be replaced every 20 years or so, the initial cost of the implant placement will likely be a one time expense.
How are implant dentures placed?
Your dentist will examine your teeth and study your x-rays to determine if you are a candidate for an implant supported denture. If they believe that you are a candidate for implants, they will refer you to either an oral surgeon or a periodontist for further evaluation. It is important that you provide your dental professionals with an updated medical history including any and all medications that you are currently taking.
At your first visit with the implant specialist, they will perform another exam instead of your x-rays and consult with you to determine your best path of treatment. They will assess your bone level to make sure that you have sufficient bone and gum structure to ensure the success of your implants. If it is determined that you do not have enough bone structure, you may be able to have a bone graft before implants are placed in order to provide enough foundation for the implants. This will add a couple of months of healing time before your implants can be placed but it will help to ensure the success of your implants!
For your implant surgery, your doctor will begin by administering a local anesthetic before making a small incision into the gum tissue. They will then drill a small hole directly into the jaw bone and place the dental implant. The implant is covered with a temporary abutment to keep it clean and protect it from damage while you heal. After your implants are placed, you may experience some discomfort which is normal and will subside within a week or so. Minor bruising, swelling of the face and gum tissue, and minor bleeding at the implant sites are common side effects after implant placement surgery. You may also notice a general soreness around the implant themselves. Any symptoms that persist and do not begin to subside after a couple of days should be addressed by your doctor to make sure an infection is not developing it.
Over-the-counter pain medication and a cold compress may be used for pain and swelling. You may also find it soothing to rinse your mouth with warm salt water, especially after eating. Salt water will help clean the area of food particles and help keep everything healthy. While you heal, you will be instructed to stick to a diet of soft foods for a couple of weeks until you are cleared to eat normal foods again.
Implant placement surgery is invasive and requires about six months of healing time before your dentist can place your permanent denture. This extensive healing period allows the implant to integrate with your jaw bone to ensure a stable foundation for your implant supported denture.
Am I a candidate for a permanent denture?
The ideal candidate for dental implants is overall healthy and has the necessary bone structure to support dental implants. A patient's age is not a factor for anyone looking to restore their mouth with a permanent denture. Important to discuss your goals with your doctors so they can help determine what path of treatment will be best for your individual case.