Implant Supported Dentures vs. the All-on-4 Technique: Which is Right for You?

By: Dr. Elizabeth Eggert

While traditional dentures are an effective solution for some patients, they also can come with a few downsides. Because the bony support that holds the dentures in the mouth changes over time, traditional dentures tend to move while patients eat or talk. 

Luckily, when it comes to choosing dentures, our patients have more options than ever. Patients who are looking for a stronger, more tooth-like restoration solution may consider either Implant supported dentures or the All-on-4 technique. 

While both of these options rely on dental implants to support the denture, these solutions have key differences as well. Below, we’ve compared each to help you decide which treatment option is right for you. 

Implant Supported Dentures

What are they?

Implant supported dentures are a more stable, modern version of regular dentures. Just like traditional dentures, implant supported dentures can replace a full set of upper or lower teeth. Unlike traditional dentures, however, the dentures have much better anchorage as the implants are stabilized into the jaw bone. Usually, the denture is attached to 4-6 implants that act like tooth roots and help them stay in place.   

Dental implants are artificial tooth roots, often made of titanium, that are surgically implanted into the jaw after a tooth has been removed. During the healing process, the implant will fuse with the jawbone, creating a permanent replacement for the missing tooth. Implants keep bone intact, therefore preventing the bone loss that’s common with traditional dentures.

The Implant supported dentures snap onto the implants, which hold them securely throughout the day. This significantly decreases denture movement, and gives them a greater biting force than traditional dentures, putting crunchy foods like apples and granola back on the table for patients with these dentures.

Who Can Get Them?

The best candidates for Implant supported dentures are patients who’ve recently lost their teeth since these patients still have better bone density to support the dental implants. The longer a patient is without teeth, the more bone loss will occur and it is difficult for implants to integrate successfully.

Patients who have been wearing traditional dentures may still be able to switch to Implant supported dentures if they haven’t yet experienced major bone loss. These patients will need to discuss their options with Dr. Elizabeth Eggert or Dr. Jeff Eggert to see if their jawbone can still support this type of denture. Occasionally, it is possible to place bone grafts to improve the chance of a successful outcome. 

All-on-4 Technique

What is it?

The All-on-4® technique is a revolutionary method that offers full-arch replacement on as few as four implants. The All-on-4 technique is similar to Implant supported dentures in that it uses implants to secure the prosthesis. However, this implant technique is designed to maximize the existing jawbone and stays fixed in the mouth, which helps to make everything look and work much more like natural teeth.

Who can get them? 

The best candidates for the All-on-4 technique are patients who need a full arch dental replacement option and that want the prosthetic to look and function the most like their natural teeth. 

What is the procedure like?

The All-on-4 technique requires digital pre-planning so the surgery can be completed virtually first. Because of this pre-planning, the surgery goes smoothly and most often a temporary version of the prosthetic is placed onto the implants on the same day as the surgery!  

What is the recovery period? 

The recovery period is the same as it would be for Implant supported dentures, with the initial post-surgery recovery including 72 hours of rest, and the full recovery period lasting anywhere from 6-12 months.

Have Questions About Dentures?

If you’re still unsure whether you’re a candidate for Implant supported dentures or the All-on-4 technique, call Eggert Family Dentistry and schedule an appointment to talk with Dr. Jeff or Dr. Elizabeth Eggert about your unique dental situation. We’ll be happy to walk you through all your options and help you choose the treatment that best suits your needs. Contact us today or call us at 651.482.8412 to schedule your next appointment. We look forward to helping you have a smile you can be proud of! 

All About Partial Dentures: What Can You Expect When You Get Them?

By: Dr. Elizabeth Eggert

When most people think of dentures, they think of a prosthetic that replaces the entire upper or lower set of teeth (or both). But when you only have a few teeth missing, and your remaining teeth are healthy, partial dentures can be an effective solution to bridge the gap.

Partial dentures help fill in your smile, improve speech, and make chewing more comfortable, among other benefits. If you’re considering partial dentures, you likely have many questions. The purpose of this blog is to help answer as many of those questions as possible.

Here’s a snapshot of what to expect with partial dentures, as well as tips for taking good care of them.

What Are Partial Dentures and How Do They Work?

Partial dentures are a type of prosthetic restorative that fills in gaps left by sections of missing teeth. They function similarly to full dentures, but for a smaller portion of your mouth.

When you get partial dentures, they will be matched to the shape and color of your teeth and gums. The dentures sit on a base that rests on your gums, which is typically made of acrylic.  The artificial teeth themselves are typically made of porcelain or acrylic. Finally, a set of fasteners that grasp the adjoining teeth will hold the partial dentures in place. These connectors can be made from metal or plastic. 

Partial dentures are removable. Unlike a dental bridge, partial dentures usually don’t require much change to the surrounding teeth to hold them in place.

Creating your partial dentures is a simple, painless process:

  1. Dr. Elizabeth Eggert or Dr. Jeff Eggert will take impressions of your teeth and measure your jaw.
  2. They’ll then have a partial denture framework made, which they’ll use to double-check the fit and make necessary adjustments.
  3. Once the framework fits well, they will ask for a try-in version of your partial denture and that will be checked again before the final partial denture is made.
  4. Then you’ll get your final partial denture and you can start wearing it right away.

This process can take several appointments over multiple weeks (or in some cases months). Dr. Elizabeth Eggert or Dr. Jeff Eggert can give you a more detailed timeline of how long it will take to get your partial dentures, depending on your personal situation.

How to Care for Partial Dentures

Caring for your partial dentures isn’t difficult and won’t take a lot of extra work. But there are a few things you should do to keep them in top shape as long as possible.

Putting Them In

Putting your new dentures in properly will take some practice. It may be difficult at first, and they may feel bulky or uncomfortable. Over time, you’ll adjust to them and they’ll feel more comfortable in your mouth.

Never force your dentures into place when inserting them. If you bite down on them when they’re in the wrong position, you could break something.

Cleaning

Partial dentures are easy to clean. Simply brush them at least twice daily (or after each meal, whenever possible). 

However, don’t use your regular toothpaste and toothbrush to clean your dentures. Instead, use a soft-bristled denture brush and a denture cleaner. Regular toothpaste or other cleaners can be too harsh and cause damage to the plastic of your dentures. And since dentures can break, it’s best to clean them over a bowl of water or a towel in case you drop them.

In addition to cleaning your dentures properly, you’ll also want to pay special attention to the gums and natural teeth on either side of the partial dentures to ensure they stay healthy.

Storage

You should wear your new dentures at all times, except at night. Take your dentures out at night because your dentures need a break from all their hard work (and so does your mouth!). 

Before you go to bed, remove your partial dentures, clean them, and then soak them in cold water or a denture cleaning solution overnight. It is important to keep dentures moist at all times, so never skip this step.

Are Partial Dentures Right for You?

Now that you know what to expect with partial dentures, you might have a better idea of whether they would be a good solution for your missing teeth. Of course, Dr. Elizabeth Eggert and Dr. Jeff Eggert will be more than happy to help you make this determination as well. 

Simply schedule an appointment with Dr. Elizabeth Eggert or Dr. Jeff Eggert to discuss the available options to meet your dental needs and determine if partial dentures are the right choice for you.

When Is It Time for Dentures?

By: Dr. Elizabeth Eggert

Whether or not you need dentures depends on your unique oral situation. We are lucky to be in an age where very few people are unable to keep their natural teeth for a lifetime. However, even with a lifetime of quality care, it is possible to end up in a situation where dentures make the most sense as a tooth replacement option. 

Let’s discuss what dentures are, how they work, and when it’s time to come in for an appointment to see if dentures are right for you. 

What Are Dentures and How Do They Work?

Traditional dentures are a set of false teeth that can replace all upper or lower teeth. They attach to a gum-colored, acrylic base that sits directly over your gum tissue. These dentures are removable, and sometimes need adhesive strips or paste to help them stay in.

Not only can dentures improve the appearance of the smile, but they also support the structure of the cheeks and lips. Dentures are often used as the solution for advanced cases of: 

  • Tooth loss
  • Tooth decay 
  • Tooth pain
  • Tooth injury
  • Tooth and gum infection

While many patients report that dentures take time to get used to, dentures allow patients to look fairly normal when they smile, talk, and chew food, after an adjustment period, of course. 

What are Dentures Made Of? 

Dentures haven’t changed much in nearly 100 years, but in the last few years, innovations in 3D printing and design, have allowed for some new opportunities in denture design. If you don’t look too closely, they can look like real teeth. They have a gum-colored acrylic base and artificial teeth that can be made of porcelain, plastic, or hard resin. 

Even though they’re false teeth, it’s important to care for your dentures as if they are real by brushing them daily to remove food particles and oral bacteria. Additionally, take care not to drop them or damage them, as they can become cracked. 

It is also important to give your gum tissues a break and take your dentures out every night. Remove them before bed and place them in warm water or a denture cleaning solution like Efferdent. 

2 Signs You Might Need Dentures

If you have any of the following dental conditions, it may be time to make an appointment with Dr. Eggert to see if dentures are right for you. 

  1. Loose or missing teeth. Loose teeth can be a sign of periodontal (gum) disease and usually mean you are losing bone support for your teeth. At a certain point, if too much bone is lost, it becomes too difficult to treat the periodontal disease and Dr. Eggert may recommend that the most healthy treatment option is to remove the infected teeth and replace them with dentures. 
  2. Chronic toothaches or non-restorable teeth. If you have chronic tooth infections and toothaches, it may be a sign that your teeth can no longer be restored or saved. The bacteria cannot be managed in any way other than the extraction of the teeth. Dr. Eggert will remove the infected teeth and dentures can replace what is lost. 

Types of Dentures 

Full Dentures 

Full dentures replace all the teeth in your mouth and can either be conventional or immediate. Conventional dentures are made after your teeth have been removed, allowing the gums to heal. On the other hand, immediate dentures are made prior to surgery and can be placed immediately after tooth removal. (Immediate dentures will need many more adjustments as the gums heal and usually have to be remade within 1-2 years.) 

Partial Dentures

A partial denture is a set of replacement teeth that attach to any remaining natural teeth. Typically, partial dentures use the same tooth and gum-colored acrylic of full dentures but are attached to a metal framework. Some all-plastic options are available today and these plastic frameworks have become much stronger than in the past and are typically thought to be more esthetic overall.  

Implant Supported Denture 

An implant supported denture, sits on the gums and is anchored into place with dental implants. Implant supported dentures can be designed to be removable or fixed in place. These dentures are much more secure than traditional dentures since the implants anchor very much like natural tooth roots. They can look very natural and can last a long time. 

How Long Will It Take to Get My Dentures? 

The process of getting dentures usually takes anywhere from a few weeks to many months. During your first appointment at Eggert Family Dentistry, Dr. Elizabeth Eggert or Dr. Jeff Eggert will need to determine which type of denture is right for you. Then, the process of fabricating dentures typically includes many impressions and try-in appointments to make sure the design will work best for you!

Think You Need Dentures? Call Us! 

Getting older doesn’t have to mean losing your beautiful smile! If you think you might benefit from dentures, give Eggert Family Dentistry a call at 651.482.8412. Dr. Jeff Eggert or Dr. Elizabeth Eggert can address your concerns and discuss all the options available to you. 

Implants Versus Dentures

By: Dr. Elizabeth Eggert

Thanks to modern dentistry, loss of a tooth – or many teeth – doesn’t have to be permanent. With a small investment of time, money and skilled expertise, it’s possible to replace teeth with implants or dentures.

When our patients are facing the loss of one or more teeth, they come to us for counseling on the best path forward. We consider it part of our customer care to walk them through the options and make sure they understand the pros and cons of each option. Dr. Elizabeth and Dr. Jeff love helping our patients understand the best choice for their individual circumstances. Here’s a quick summary as a starting point.

Implants: The Pros

The best part about implants: They feel and behave like your original teeth. You care for them in a similar way, so you likely don’t need to embrace any fresh routines or invite any new bottles or tubes into your bathroom cabinet. They will prevent neighboring teeth from migrating, so they preserve your bite. Because they are anchored in the bone, they help preserve bone mass in the jaw, Once they are established, they nearly take care of themselves. The feel of chewing, the nuances of speaking, the sensation when you run your tongue along the inside of your mouth – these will all feel completely familiar. Implants are built to last a lifetime, and they almost always do.

Implants: The Cons

Dental implants can take awhile from start to finish. Typically, it’s about six months between initial surgery and final placement of the abutment and crown. There is usually some healing time of the implant which will continue to leave you toothless for awhile. If, however, the missing tooth is in the front of the mouth, we can place a temporary tooth for cosmetic reasons. Depending on your situation, implants may cost more than other options.

Dentures: The Pros

Dentures can be crafted and placed in a shorter time period than implants. They don’t usually require surgery, but sometimes bone recontouring can be necessary to get the denture to fit just right. The initial cost of dentures is lower than most implant replacement options; however, they may need to be replaced as the shape of the jaw, mouth and adjacent teeth change over time, so in the long run may end up costing more.

Dentures: The Cons

Dentures will never feel like your natural teeth. They must be removed for cleaning, and because they can trap food, cleaning is extra important. Denture wearers may have to forgo some of their old eating habits such as corn on the cob. Because they don’t help preserve bone mass in the jaw, denture wearers are likely to experience ongoing jaw bone deterioration, which may prevent them from being a candidate for implants at a later time. Subsequent bone loss may contribute to a sunken appearance of the lower cheeks.

We hope this summary helps you understand your options. We look forward to evaluating your personal situation, and helping you embark on the tooth restoration program that fits your needs. Call us today at 651-482-8412 for your exam and consultation!

Teeth Replacement Options

By Dr. Elizabeth Eggert

Choosing the right tooth replacement method should start with an exam and a dialogue with your dentists, Dr. Elizabeth and Dr. Jeff. They are happy to take the time you need to understand the variables of your available options, including dental health, overall health, how long it will last, how long it will take, and financial impact. We want to help you choose the treatment that makes the most sense for your situation and bring you the greatest satisfaction.

Replacing Teeth with Dental Implants

Dental implants consist of three components. A titanium post is fixed into the bone where a tooth was. The jaw bone grows back around the implant, holding it firmly. When the implant has integrated with the bone, an abutment is fitted on the implant, and then a crown is attached to the abutment.

Implants help keep adjacent teeth and your entire mouth more resilient to deterioration. When a tooth is lost, a few things begin to take place that may not be easily evident to the eye, but can have significant negative consequences for both health and appearance. Tooth roots not only help hold teeth in place, they are also essential in maintaining health in the adjacent gums and supporting bones.

Thus, tooth loss can cause bone loss in the jawbone. This is a problem because it can interfere with the integrity of the roots and stability of nearby teeth. This bone loss is also responsible for the “sunken” appearance of the lower cheeks which we see in people who have lost back teeth. Because this bone loss is gradual, it causes people who wear dentures to find that their dentures are increasingly hard to fit and keep in place, over time.

With an implant, bite function is fully restored to as good as new. Neighboring teeth are prevented from shifting. The jaw bone is much more stable and stays where it belongs. Additionally, implants look and feel like your own teeth, and you care for them just the same as your regular teeth. Plus, the longevity is unmatched, with them lasting many years.

The comfort, function and appearance of a dental implant explain why they have become so popular.

Replacing Teeth with All-on-4® Dental Implants

All-on-4® Dental Implants are a relatively new dental reconstruction. In a way, they are a hybrid of implants and a bridge. With this technique, four (or more) implants are placed in the jawbone and an entire arch of reconstructed upper or lower teeth are affixed to the four (or more) imlants. This is a more comfortable, stable and long-lasting option than traditional dentures. Plus, they look and feel just like “real” teeth.

Replacing Teeth with Fixed Bridges

A fixed bridge fills in the gap caused by one or more missing teeth by using surrounding teeth as anchors. A bridge can be a fairly quick way to replace teeth, but since it relies on the neighboring teeth, the integrity of these anchor teeth is reduced. Bridges can also be more difficult to keep clean than other tooth replacement options because food will trap under the “fake” teeth.

Replacing Teeth with Removable Partial Dentures

Partial dentures are able to replace one or more teeth in an arch They consist of replacement teeth attached to a plastic base and often a metal framework, which is supported by the gums and teeth. They are removed for cleaning. They are more comfortable and secure than full dentures, and usually cost less than implants or bridges.

Replacing Teeth with Full Dentures

Full dentures are an entire set of artificial lower and upper teeth, held in place by suction. They are removed for cleaning. When they’re brand new, they may feel awkward and speaking and eating might require practice. Over time, they may stop fitting properly as bone mass degrades.

To learn more about your tooth replacement options, call us at Eggert Family Dentistry, 651-482-8412.