Boca Raton periodontist Dr. Jeffrey Ganeles explains options for replacing teeth, including TeethToday fixed dentures utilizing dental implants.
If we assume that there are no natural teeth left to work with, then the options for replacing an entire arch of teeth break down into two broad categories: removable dentures and fixed dentures. Removable means a denture which the patient takes out on a daily basis to clean. Dentures typically move around, and food can get underneath them. Patients report that removable dentures can be uncomfortable and they are not considered to be a very good replacement for permanent teeth.
Dentures can be stabilized, which means the surgeon can place two to four implants or mini-implants underneath a denture and the patient can snap that denture onto it. The implants reduce the amount of movement that the denture will have when it is being worn, but it still needs to be removed for cleaning and food can still get underneath it.
The other alternative is the fixed option, which means permanent teeth that are either cemented or screwed onto implants. These teeth are not removable by the patient but can be removed by a dentist if necessary. Depending on the circumstances, four to eight implants may be required in each jaw in order to support the permanent teeth.
In many cases permanent teeth can be done using the immediate load TeethToday process, where teeth are placed on the implants the same day that the implants are placed. That immediate loading process generally cannot be done with the snap on dentures because the implants need time to integrate with the bone before they can support a denture
Although we have many options for patients who need an entire arch of teeth replaced, and we review options with patients, the state-of-the-art option is the fixed restoration using the TeethToday protocol.
Dr. Jeffrey Ganeles
South Florida Center for Periodontics and Implant Dentistry
Boca Raton, FL
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