Permanent Dentures
More than half of patients who wear dentures find that there are limitations placed on most aspects of their lives. In addition, certain foods are off limits as they can cause the dentures to slip or break. Fortunately, through developments with modern dentistry, patients are not able to use permanent dentures to meet their tooth replacement needs.
Permanent Dentures
Permanent dentures or denture implants are prosthetic teeth which are securely attached to the jaw bone. Unlike traditional dentures, this type of implant dentures cannot be removed. A major benefit of this, is their ability to appear and function just like the natural teeth. The implants eliminate the risk of the denture slipping or falling out during routine activities. Because they are permanently attached, they also can’t be lost, thrown away or misplaced. The permanent denture implants can also be placed precisely in the location of the missing tooth or teeth.
The procedure for placing permanent dentures typically begins with a thorough oral examination. This is followed by an evaluation of the jawbone to identify the specific locations for placing the implant placements and to ensure there is adequate jawbone present to support the implants. The permanent dentures will then be secured to the implants, once the jaw bone and gums have healed. During the healing process, the implants will fuse to the jawbone. This process is called osseointegration and critical to the permanent denture procedure.
As with most types of dental procedures, there is no perfect solution for replacing missing or damaged teeth. However, permanent dentures are an excellent solution which is quickly gaining popularity.
Ideal Candidates for Permanent Dentures
Any patient with adequate bone in their jaw required to support the implants, is a candidate for permanent denture implants. It is also important for candidates to have good oral and physical health for the procedure. Denture implants are ideal for patients who are missing or have damaged one or more teeth. Patients need to continue practicing good oral hygiene following the procedure to ensure the implants heal properly and to avoid future complications.
Permanent Denture Benefits
It is reported that dentures have been around since as early as 700 BC. While procedures and materials have changed over time, traditional dentures are an outdated solution for the replacement of missing teeth. Fortunately, permanent dentures with implants are a modern solution which resolve many of the issues associated with removable dentures. Some of the key advantages of permanent dentures include the following:
- Dental implants provide a strong a secure base, similar to the natural teeth
- Excellent fit and comfortable to wear as they are secured to the jawbone and do not rest on the gums
- Facial features are supported and the jawbone is stimulated, eliminating the risk for bone resorption
- No special cleaning procedures or removal required to maintain
- Permanent dentures allow patients to eat their favorite foods without restrictions or the fear of slipping and coming loose
- Permanent dentures evenly distribute the force associated with chewing
- Secure solution with a long life expectancy
- Shorter healing time and less invasive procedure compared to dental implants
Another benefit associated with permanent dentures is that adhesives are not required. In many cases, the gel or paste used to secure the false teeth contains zinc. According to the FDA, excess consumption and use of zinc can lead to nerve damage in the feet and hands.
Improved Facial Support
Removable dentures can result in bone loss and a change in the structure of the patient’s face. This can cause wrinkles and sunken in appearance. Because permanent dentures stimulate the jaw bone, they aid in maintaining the structure of the face.
Dietary Restrictions
Permanent dentures are secure and allow patients to have confidence with chewing and eat the foods they love. With traditional dentures, there are significant dietary restrictions and in some cases, the dentures need to be removed while eating.
Implant Procedure
The procedure for placing implants does require oral surgery. Based on which type of implant is being used and the condition of the jawbone, multiple procedures may be required in order to complete the process. Local or general anesthesia may be administered during the procedure ensure there is no significant discomfort.
During the initial phase of the procedure, the damaged teeth will be extracted. In many cases, the tooth has already fallen out and does not require removal. The dentist will then prepare the jawbone for surgery. In some cases, a bone graft is required in order for the jawbone to support the implant.
The dentist will then place the metal, screw-like implant which will serve as the root of the artificial tooth. During the final step of the process, the dentist will place the artificial tooth on top of the implant. This final step will give the permanent denture the appearance of a natural tooth. While the timeline can vary, it typically takes a few months to complete the entire process.
Procedure Preparation
Prior to receiving dental implants, a complete dental exam will be required. This will typically include X-rays and the dentist will obtain molds of your teeth. During the initial appointment, it is important to share your complete health history with the dentist, which may include orthopedic implants, heart conditions and any medications. The dental team will provide specific instructions regarding preparation for the procedure. If the dentist is using general anesthesia for the procedure, it will be necessary to arrange transportation home. While the recovery is typically minimal and most patients can resume work and normal activities within a few days, plan to rest and take it easy the day of the procedure.
Recovery
Following the implant procedure, there may be some slight discomfort. Some of the most common side effects associated with the placement of implants can include swelling and bruising. There may also be some bleeding in the mouth. The area surrounding the implant may also feel tender and sore. Over-the-counter pain medication and a cold compress can be used to ease any discomfort. It can also be helpful to use a salt-water rinse to aid in preventing infection.
It is important for patients to monitor their symptoms. If they do not improve or get worse over time, follow up with the dentist right away. In some cases, antibiotics are required following surgery. Be sure to follow the instructions provided by the dentist following the procedure. This often includes consuming soft foods and avoiding extremely hot food and beverages during the healing process. In most cases, self-dissolving stitches are used for the procedure which do not require removal.