This lady had been wearing a large upper denture for a number of years. She disliked the way it looked and particularly the she disliked the ‘gagging’ feeling it gave her, since it completely covered the palate. The last remaining tooth helping to hold it in place was in imminent danger of falling out so we discussed what the options were.
Winning Smiles solution
It was decided that an implant retained denture would be best for her because:
- the denture itself is much smaller than a conventional denture and covers only a small area at the front of the palate;
- the implant ‘fixtures’ mean that it would be held firmly in place (no more loose denture with a mind of its own);
- the implant-denture rests on the gum and gains support from the gum, so only half the number of implants are needed to support it (just 4-5 as opposed to an implant bridge that required 7-10 implants to support it)
- finally the implant denture can be made ‘as one’ by a skilled denture technician using off the shelf teeth, so compared with a complicated implant bridge where every tooth has to be painstakingly made from scratch the fabrication costs are also much lower.
The end result
On average, the implant retained denture costs half what a fixed implant bridge would. The disadvantages are that it must be removed for cleaning (as it is not ‘fixed’ like real teeth) and it is bulkier than fixed implant-bridge teeth. However, in this instance it provided the best solution for the client, who was used to wearing dentures.
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