Common problem which most of the elderly people are facing with dentures is Loose Lower Denture, which leads to dissatisfaction and disappointment with the dentures. Especially when someone is not able to eat.Now loss of retention of the denture is a multifactorial problem.
However now say no more to conventional dentures.Future is implant supported overdentures.
1. Esthetics obviously
2. You can eat properly- no more shaking
3. You can speak confidently- without fear of dentures coming out of the mouth "such an embarrassment"
No more removable prosthesis
"Ask you dentist for either a fixed one or fixed-removable one"
Tooth loss occurs due to various reasons decay and infection, fracture, accidents, gum disease, to name a few. Tooth loss has a negative impact on various aspects facial appearance, chewing efficiency, and overall nutrition. The attempts to restore the lost tooth have led to various advancements from removable dentures to cast partial dentures to fixed dentures to implants.
Listed below are features (covering advantages and disadvantages) of both dentures (fixed and removable) and implants. While dentures can be complete or partial, implants are more often partial, of course can be used to replace multiple teeth. A detailed discussion with your dentist along with oral and radiographic examination will help in making a decision.
Replaces tooth but more for cosmetic reasons than function.
Poor chewing efficiency.
Useful when multiple teeth are to be replaced, especially when no adjacent teeth are available for support.
If good bone support is not available, retention is an issue.
Not very healthy for the underlying jaw bone and adjacent gums.
Requires daily and routine maintenance.
Also called as bridges, as the artificial replaced tooth is a bridge between two natural teeth.
Requires removal of sound tooth structure as abutment (support). This is the major disadvantage with fixed dentures, which promoted further work from the dentists, ending up with discovery of implants.
Promotes tooth decay in the adjacent teeth.
Good support, so retention is not an issue.
Not as harmful to the underlying jaw bone as removable denture.
Requires maintenance but not like the removable denture.
Expensive compared to removable dentures.
Replacing a bridge also means the adjacent healthy teeth are affected.
Very good replacement alternative, replaces not just the crown structure but also the root structure.
An excellent option when the jaw bones and gums are extremely in good condition.
Almost natural restoration of both chewing efficiency and facial appearance, the person can eat almost anything.
Not as harmful on the gums like dentures.
Does not cause bone loss like dentures.
Can be used to replace single or multiple teeth, where multiple implants are placed and a bridge is placed over them.
The titanium screws that are used fuse with the jaw bone over a period of time.
The titanium is also biocompatible, thereby reducing chances of allergy.
Implants are expensive, and many insurance companies may not cover them.
If properly fabricated and maintained well, then it can last for decades.
The decision to go for a denture or for an implant should be decided based on a detailed evaluation of overall health and if required radiographic examination. Both dentures and implants have advantages and disadvantages, and the dentist will help make the right choice. If you wish to discuss about any specific dental problem, you can consult a specilized dentist and ask a free question.
Modern oral implantology can be traced since the 1960s, and it is now a predictable and successful treatment modality for edentulous (toothless) situations. A dental implant is a prosthetic tool that is fixed into the jaw to provide support to a crown, fixed denture, or removable denture.
A dental implant is a titanium pillar which helps to provide support when embedded into the jaw bone. Such titanium pillars are compatible with the human body and thus, are incredibly safe for usage. The implants then blend in with the bones and tissues and create a stable foundation for teeth restoration. By indulging into a process called abutment where the repair is attached with the help if a connector, a natural look is then obtained for the implants.
Dental implant procedure
Problems solved by dental implants
Used in for any tooth replacement; particularly useful for the:
Single tooth replacement
Completely toothless state
Long toothless spans.
When a fixed partial denture is compromised due to:
Long toothless spans
Unfavorable number & location of abutments.
When a conventional complete denture may be compromised due to:
Poor muscular coordination.
Low tolerance of mucosal tissues
Hyperactive gag reflex
Procedure for dental implants
The surgical site is thoroughly cleaned and painted with 1% povidone-iodine solution to bring down the bacterial colony count in the mouth.
Incision: standard trapezoidal incision or branemark system buccal incision is made midway between the crest and depth of the vestibule, and then the flap is reflected lingually.
Drilling into bone: the manufacturer gives a guide to the sequence of drills (sizes) to be used to make proper sized drill hole for a particular implant.
Drilling: â the first drill invariably is the round one, to puncture the cortex at the crest. After that, the drills are used in ascending order of thickness.
Drilling speed: bone must be drilled at a speed less than 800 rpm. The drills are marked for depth to guide the surgeon as to how deep the hole should be.
Insertion: implants are provided in a sterile pre-packed container with an implant carrier, which is gently taken to the drilled site and hand twisted to engage a few threads, and then a special ratchet is used to screw the implant up to its required depth. The implant carrier is removed then and healing cap is screwed on to the visible implant top.
Irrigation: it is done with normal saline to keep the local bone temperature at normal body temperature and also to flush out the bone to debris from the drill hole.
Closing the wound: Black silk is the preferred suture material with a traumatic curved needle. Interrupted sutures are placed and are removed 5-7 days postoperatively.
Advantages of dental implants
Some of the advantages are as follows:
Preservation of bone: the placement of an implant will ensure that the bone level is maintained in that region.
Teeth can be positioned for aesthetics: with an implant, the teeth may be positioned where the natural one existed rather than in the neutral zones for stability.
Maintenance of vertical dimension: the loss of vertical dimension decreases due to wear and bone resorption. Implant dentures can maintain the vertical dimension, as bone resorption is minimal.
Occlusion: easier to establish proper occlusion and occlusal loads can be directed.
Improved mastication: enhanced bite force and masticatory efficiency.
Increased stability and retention
Reduced size of the prosthesis
The enhanced success rate of prosthesis
Healthy smile with dental implants
Disadvantages of dental implants
Some of the disadvantages include:
Prolonged treatment duration
Involves a surgical procedure.
After effects of dental implants
Tear of flap
Puncture of the buccal or lingual cortex
Lack of irrigation or insufficient irrigation
Lack of primary stability of implants
Rarely fracture of the implant
Loosening of implant
Loss of implant
So, if a person wants healthy and natural teeth, then go for dental implants. It is found that the success rate for dental implants is 98%.
Teeth may be lost due to various reasons - decay, periodontal disease, age, trauma, etc. Whatever the reason, losing a tooth causes some side effects, as noted below:
For someone who has lost a tooth or teeth, dentures are a boon. There are various options for people, and choice can be made based on economic, cosmetic, and overall health conditions.
Partial/complete: If only one or few teeth are being replaced, it is a partial denture. This can be fixed or removable. In case of old age or trauma where all teeth are lost, a complete denture would be in order. In most cases, this is a removable denture.
Fixed dentures/Removable dentures: Depending on whether the denture is fixed in the mouth or can be removed when not in use.
Metal or ceramic or combination: In some cases, for aesthetic or economic reasons, the patient can decide to go for a metallic fixed partial denture. The fabricated crowns will have a metallic surface but is acceptable given the strength, especially in posterior teeth, which take a heavy mastication load.
In cases of front teeth loss, the denture should almost always be a ceramic one, especially for cosmetic reasons. If the person cannot afford, a removable denture can be done.
The optimal denture should be chosen based on a number of factors including the functional and aesthetic expectations.
Caring for dentures: It depends on the types of dentures you choose.
Fixed dentures: This requires religious brushing, flossing or interdental brushing, and rinsing. The edges of the denture can put pressure on the gums and cause irritation, this needs to be watched for.
With any denture in the mouth, visit the dentist regularly every 6 months to keep a constant vigil on your overall dental health. Ill-fitting dentures, especially, need to be corrected immediately as they can lead to irritation, ulcers, and even infections.
With these small precautions, the denture can function to its optimal level and serve as a good replacement of the lost tooth. If you wish to discuss about any specific problem, you can consult a dentist.
Dentures are prosthetic devices and their purpose is to replace missing teeth. Dentures are basically false teeth, which are supported by the tissues of the oral cavity. Most dentures are removable, while some are permanently fixed. Dentures are widely used by people all over the world, who have missing teeth.
Here are the ways in which dentures can improve a person's life:
Dentures improve the quality of a person's life greatly with missing teeth. They should be taken care of properly, cleaned regularly and you should have regular dentist appointments to ensure a proper fit of the denture. If you wish to discuss about any specific dental problem, you can consult a specilized dentist and ask a free question.
Most amazing thing in dentistry. Tooth implant. Those patients who don't have teeth and does not want to wear dentures. They should go for tooth implant. But it has to be a good quality implants. We can put 1 teeth with implants or multiple teeth also. That is for life time. Dental implants are good for oral health as well as bone health.