Implant-supported full arch dentures (complete dentures).
Full arch replacement.
Why make a full arch replacement?
Options for a full arch replacement at Smart Smile Dentistry in Gainesville.
For a full arch replacement, there is more than one option. The traditional option is a full denture (upper or lower). The modern and superior option is the implant supported full bridge. We will give you a brief description of each in the following paragraphs.
Traditional complete dentures at Smart Smile Dentistry
- Construction -The traditional full denture has been quite popular till recent years when the implants became available. Artificial teeth are attached to a metal wire framework and the framework is embedded in an acrylic base so that the teeth only are visible above the base. The base is made such that it fits over the gums and is made in a color to match the gums. It adheres to the gums by suction or adhesives. In the case of the upper denture, it also extends under the palate and takes support from it as well. It is not permanently fixed but is removable and must be removed for cleaning and while sleeping.
- Advantages – The traditional denture has the following advantages.
- Expense – The traditional denture is not expensive.
- Quick acquisition – It takes very little time to make and use compared to implants.
- Easy manufacture – It is easily manufactured by a every dental lab according to measurements provided by almost any dentist.
- Disadvantages – However, the limitations of the traditional denture are many. Some are:
- Uncomfortable – One feels odd and uneasy when wearing dentures. It takes some time to get used to dentures.
- Irritation – Dentures may cause irritation to gums because of an imperfect fit, the presence of an unnatural cladding on the gums.
- Slippage – The dentures are not tightly held, and hence may slip or fall out. Sometimes they may cause clicking sounds during jaw movements.
- Embarrassments – Slipping out of the denture at the wrong moment may cause embarrassment in social and private situations.
- Bone loss – Empty tooth sockets, and irritation due to the denture may cause a phenomenon called bone resorption (eating away of surrounding bone).
- Face feature distortion – Loss of jaw bone around the tooth sockets can cause facial features to shrink around those regions.
- Need for relining – As the bone and gum flesh shrink under the denture the denture needs relining. This may happen quite frequently.
- Need for removal at night – The denture must be removed for cleaning, and at night and reinserted again. That is not convenient.
- Special storage – Dentures must be stored in special soaking solutions or in water when not in use. Else, they will shrink or distort and will not fit.
- Careful handling – Dentures must be handled very carefully. It they get dropped they may break or crack. Cracked or chipped dentures must not be worn.
Other options include implants supported prostheses. Before we proceed toward them, it is best that you learn what an implant is, and why implant supported prostheses have become so popular nowadays.
What is an implant?
Osseo-integration and biocompatibility.
Implants supported bridges at Smart Smile Dentistry.
How do you get an implant bridge?
The implant is a lifetime solution. Hence, the installation process is high-tech and complicated. The standard implant procedure takes three to six months. The following steps are involved.
- Consultation and examination – When you visit Smart Smile Dentistry in Gainesville, FL, the process starts with a detailed examination. The examination will include general health visual and x-ray examinations. 3-D soft images are obtained and bone quality and volume assessed. The examination will determine whether the bone can support the bridge. If not, bone grafting may be required. Similarly, gum flesh may also have to be grafted. The number of implants required and their positions and angulations are also determined. Final decisions may be determined by budgetary constraints of the patient.
- Tooth extraction – Any existing teeth are removed, and the gums allowed to heal.
- Grafting of bone and gum tissue – This step is done only if necessary, and followed by a few months to allow the graft to take hold.
- Placing of implants – Once sufficient bone has grown, the implants are placed at the predetermined positions and angulations. Abutments are attached and the patient sent home to allow for osseo-integration. This can take three to six months. In the meantime, the denture bridge is prepared with 14 teeth per denture.
- Placing the bridge – Once osseo-integration is complete, the implants are loaded with the bridge.