Denture Options: Which One Is Best for You?

In this video, Dr. Matthew Keider provides an overview of the various tooth replacement options, including removable and fixed solutions, to help patients make an informed decision. If you are missing teeth and want to explore the best option for your needs, schedule a free consultation today to discuss your treatment possibilities.

Many patients are unaware of their options for tooth replacement. Generally, there are two main categories: removable and fixed solutions.

Removable Options

One common removable option is a partial denture, used when some natural teeth remain. A partial denture consists of a plastic saddle that rests over the bone ridge and metal clasps that secure around the natural teeth. When placed in the mouth, these clasps flex to hold the denture in place.

Advantages and Disadvantages of Partial Dentures
One advantage of a partial denture is cost-effectiveness. The price remains the same regardless of how many teeth are being replaced, making it an economical choice for patients missing multiple teeth.

However, a partial denture extends across the mouth, which can take some time to adjust to. Although modern partial dentures are made from strong materials like chrome cobalt and can be designed to be thin and less intrusive, they are not fixed to the gums. Small food particles, like strawberry seeds, can get trapped underneath, requiring the patient to remove and rinse the denture before continuing to eat.

Another removable option is a full denture, used when all teeth in an arch are missing. Full dentures have both advantages and disadvantages.

Upper vs. Lower Full Dentures
An upper denture covers the roof of the mouth and relies on suction to stay in place. The effectiveness of this suction depends on factors such as the shape of the patient’s palate and the amount of bone ridge remaining. A moist mouth helps maintain suction, whereas a dry mouth can make retention difficult.

A lower denture, on the other hand, does not rely on suction and tends to be less stable. The horseshoe shape of the lower jaw and constant movement of the tongue make it difficult for a lower denture to stay in place. Some patients consider using adhesive, but it is often ineffective for lower dentures.

Most full-denture wearers prefer their upper denture over their lower denture because of the added stability provided by suction.

Maintenance of Full Dentures
Over time, the bone ridge naturally resorbs, causing the denture to fit less snugly. To maintain a good fit, denture relining is typically recommended every 2 to 5 years. Since changes occur gradually, patients may not notice them right away but may begin using adhesive to compensate for the loose fit.

Routine dental visits are still necessary even for patients with full dentures. Dentists check for sore spots, screen for oral cancer, and professionally clean and polish dentures to keep them smooth and comfortable.

For at-home cleaning, using a toothbrush with a small amount of toothpaste to clean both the inside and outside of the denture is recommended. While this may create micro-scratches over time, professional polishing at the dental office will smooth them out.

Implant-Stabilized Dentures
For improved stability, full dentures can be secured with dental implants. Unlike traditional dentures, an implant-supported denture does not cover the roof of the mouth, allowing for better taste perception.

Implants, made of biocompatible titanium, provide a secure foundation for the denture. The denture itself contains O-rings that snap onto the implants, keeping it firmly in place. This makes chewing much easier and prevents the denture from shifting. Implant-stabilized lower dentures are particularly beneficial, as a traditional lower denture often moves excessively, making eating difficult.

This procedure can typically be completed in a single day, significantly improving comfort and function for denture wearers.

Fixed Options

Unlike removable dentures, fixed options remain permanently in place.

  • Fixed Bridges
    A fixed bridge is an option for patients missing one or more teeth. It consists of crowns placed on the adjacent teeth, with artificial teeth attached in between. This structure is permanently bonded in place and does not require removal for cleaning.

One advantage of a fixed bridge is that it does not take up additional space in the mouth beyond what the natural teeth would occupy. It is particularly beneficial if the adjacent teeth already require crowns, as the bridge serves a dual purpose—restoring the missing tooth while strengthening the adjacent teeth.

  • Full-Arch Fixed Solutions
    For patients missing all teeth in an arch, a full-arch fixed restoration is the closest alternative to natural teeth. This involves placing multiple implants in the jawbone to support a custom-made roundhouse bridge, which is permanently secured in place.

Once placed, the restoration functions like natural teeth. Patients cannot remove it, and it requires the same cleaning routine as natural teeth. Esthetically, fixed restorations offer flexibility in tooth shape, size, and color to achieve the desired appearance.

Choosing the Right Option

Whether you are missing a single tooth, multiple teeth, or an entire arch, there are multiple treatment options available. The best choice depends on your specific needs, budget, and personal preferences. I would be happy to review all options with you and help determine the most suitable solution for your situation.

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