Missing All Lower Teeth
Although many patients have no problem wearing an upper denture, some people find it difficult to wear and eat with lower dentures. Several implant-supported replacement options are available if you are missing all of your lower teeth.
Ball Attachment Denture
One option is to have two implants placed in your lower jaw and a denture made that snaps onto these implants. This option allows your lower denture to be more stable while chewing than without implants. However, there will still be movement of your lower denture, and sore spots will occur if any food particles, especially seeds, are caught under it. As with all removable replacement teeth, you still will need periodic appointments for denture adjustment.
Bar Attachment Denture
Another option involves placing four to six implants, depending on your jaw size or shape, into your lower jaw. After healing is complete, the implants are connected with a custom-made support bar. Your denture will be made with special internal retention clips that attach onto the support bar, enabling the denture to snap firmly into place. This is called an “overdenture.” The advantage of this option is that it is much more stable than the first option and allows very little denture movement. Your denture is still removable for easy cleaning and maintenance.
Screw Retained Denture
A third option involves placing five or more implants in your jaw and attaching a permanent denture. Your denture is held in place by screws or clasps that secure it to the support posts or bar. It doesn’t touch the gum tissue, which allows you to clean under the denture without removing it. This denture will replace all your missing lower teeth and will not be removed except at maintenance visits. Although cleaning under your denture without removing it is more time consuming and requires more dexterity, many patients who want a permanent denture prefer this option.
Individual Implants
The final option is to have all your teeth individually replaced so that they will appear to be growing out of your gum tissue and will most closely resemble the appearance of your natural teeth. This option usually requires eight or more implants. Separate abutments or support posts for each one of these implants will be made and crowns for each missing tooth will be placed. The teeth are often joined together for sinus grafting to replace bone height strength and support. Overall, this is the most costly option, because it requires the most implants and individual replacement tooth fabrication. Your replacement options may also be limited by the current size and shape of your jawbone.
What If I’m Missing All Of My Upper Teeth?
A similar range of treatment options is also available for your upper jaw. However, because the bone is not as hard as that in the lower jaw, people often need more implants to support their new replacement teeth. Depending upon the number of implants to be placed, it may be possible to eliminate the need for covering the roof of your mouth with a complete denture. This option allows you to fully taste your food and gives you a better sense of its temperature. Your denture will feel more natural. You will still have a removable denture, which makes cleaning the support bar and denture much easier.
Implant Retained Upper Denture
Depending upon the number of implants to be placed, it may be possible to eliminate the need for covering the roof of your mouth with a complete denture. This option allows you to fully taste your food and gives you a better sense of its temperature. Your denture will feel more natural. You will still have a removable denture, which makes cleaning the support bar and denture much easier.
Individual Upper Implants
If you want a restoration that is similar to your natural teeth and therefore not removable, you probably will need eight to ten individual implants placed. This is followed after healing by the placement of the abutments and new replacement crowns.
BEFORE AND AFTER GALLERY
Cosmetic and Family dentist in Seattle, WA
Kim
Kim’s teeth had been both victim of neglect and dental fear. She was read to have her smile back. As we progressed through her treatment, Kim’s confidence grew, and her gorgeous new smile says it all!
Kim finally built up the courage to visit our office during the start of the pandemic. Her emotional story of fear and poor dentistry was presented with honesty and commitment and demanded our attention. We reviewed her x-rays and diagnostics along with leveraged compassion, care, and dental expertise to create a smile that left everyone filled with joy. We don’t fix teeth; we fix patients. In Kim’s case, we were able to not only improve her smile, but eliminate her dental fears!
Craig
Craig’s teeth were damaged from years of clenching and grinding due to stress. We came up with a plan to restore Craig’s smile and self-esteem!
Craig’s teeth suffered from years of neglect, resulting in a significant number of cavities, and punishing results of clenching and grinding (bruxism), especially at night. We sat down for a one-on-one consultation to develop a custom plan with the goal of restoring his smile and maintaining it for long-term success. Craig’s commitment and enthusiasm spread throughout our team as we custom-built his plan. His treatment resulted in a cosmetically pleasing, functional smile that was designed to resist any future stresses from bruxism.
Dr. Aranka
Dr. Aranka gave a lifetime commitment to his patients and community but did not give himself a lifetime of care for his oral health. We created a fabulous smile for him, and he shows it to us every day!
Dr. Aranka is a retired local physician who stepped through our doors. He was unhappy with his smile and the condition of his oral health. He was tired of quick fixes that ultimately did not last. We sat together in the consultation room and outlined a vision for a long-term solution that would give him a healthy, functioning, and aesthetically pleasing smile. Dr. Aranka now comes in every day smiling and thankful for what our team has provided him.
Marco
Marco didn’t like his smile but didn’t know what to do about it. Our initial consultation included examples of what could change, and now Marco couldn’t be happier with his smile!
Marco recently semi-retired from his career in commercial real estate. He’s always been a bubbly, funny man but always seemed to have a reservation about his smile. One day I asked Marco if he liked his smile, and he said he didn’t. So I invited him to a consultation and showed him all the changes that could be made aesthetically, from his gum line to coloration to lip support. We did a little recontouring for his lower arch, light dentistry for his upper arch, and a tooth bleaching, and Marco is now thrilled to share his smile.
Alexa
Alexa didn’t like how her teeth looked and was ready for a smile transformation. She had overcome major life obstacles and was ready for a smile to match her new life. After neglecting her dental health for over 10 years, she made the brave decision to visit our office for a consultation.
Alexa and I discussed her smile goals and treatment options for long-term success. She put her full trust in us and completed multiple procedures including crown lengthening, implants, and full mouth reconstruction. As her treatment progressed, her confidence grew dramatically! We completed Botox and lip/cheek filler to enhance her already beautiful features and she could not be happier with the final results. Alexa is no longer scared of the dentist and her smile lights up any room she walks into!
