Dental restorations

Dental Restoration Types: Single Tooth, Implant Supported Dentures vs. Full Arch Dental Implant

Dr. Diego Eduardo Heredia Viveros×

Hospital Administrator

Dr. Diego Eduardo Heredia Viveros hails originally from Mexico City and currently resides in Tijuana, Baja California. …  Read More

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Dental implants have become the gold standard for missing tooth restoration. These mostly titanium screws or posts are surgically implanted into the jawbone to serve as a base for a replacement tooth or set of teeth. However, various dental restoration options are available, and it’s crucial to understand the differences between them to determine the best type for you.

In this article, we’ll explore the two most popular types of dental implant restorations: single-tooth, implant-supported dentures, and full-arch dental implants.

The Overview of Single-Tooth, Implant-Supported Dentures

One of the most commonly requested dental implant restorations is single tooth-implant supported dentures. As the name suggests, this involves a denture supported by a single implant post. This can be an excellent option for those missing one or a few teeth yet want a more stable and secure option than traditional dentures. It can also be a less invasive option than full arch dental implants, as it requires the placement of fewer implants.

Single Tooth, Implant Supported Dentures Procedure

Step 1:  Initial Consultation

The first step is to visit your dentist or oral surgeon for an initial consultation. You can consult with your dentist over several appointments. Expect your dentist to do an oral exam and review your medical history to determine if single-tooth, implant-supposed dentures suit your specific needs.

If the dentist decides to proceed with the procedure, they will take impressions of your mouth and conduct X-rays to assess the jawbone structure. You may receive temporary dentures in the meantime.

Step 2:  First Dental Implant Surgery

Typically, the initial surgery for dental implants can be more challenging for the patient. The dentist will begin by inserting implants into the patient’s jawbone, which may require local and general anesthesia.

The first dental implant surgery involves making an incision in the gums and drilling a hole in the jaw bone to create space for the implant. The area is then closed with stitches, and the patient will need to wait for three to six months while the jawbone and implants fuse.

While waiting for the healing process, your dentist will take dental impressions to create custom dentures that will eventually fit onto the implants.

Step 3:  Placement of Implant-Support Dentures

Once you have completed the healing process, your dentist may need to perform a minor surgical procedure to expose the upper part of your implants. This is necessary to ensure the proper placement of caps that will aid in healing and prevent the gums from growing over the implants. After allowing for sufficient recovery time, typically around two weeks, your dentist can proceed to place abutments on the upper part of your implants.

The final step involves the attachment of your dentures to the abutments. It enables your dentures to snap into place securely and comfortably each day. During this stage, your dentist can guide you on attaching and removing your dentures to maintain longevity and prevent damage.

Benefits and Drawbacks of Single-Tooth, Implant-Supported Dentures

Single-tooth, implant-supported dentures provide many benefits you need to be aware of, including improved stability compared to traditional dentures. You’re also less likely to experience discomfort or sores, and implant-supported dentures can help maintain jawbone density. Additionally, you can confidently use your artificial teeth and enjoy the ease of chewing and speaking with implant dentures.

One of the most significant advantages of implant-supported dentures is their longevity. With proper oral hygiene, implants can last a lifetime, eliminating the need for repeat implant installations in most cases.

However, there are also some disadvantages to consider before opting for this type of dental implant restoration. One potential drawback is the surgical installation required for implants, which may not be an option for individuals with certain chronic health conditions, such as diabetes.

On top of that, implant-supported dentures tend to be more expensive than conventional implants, which may make them less accessible for some patients.

Overview of Full Arch Dental Implant

A full-arch dental implant involves the placement of multiple implant posts to support an entire arch of replacement teeth. It’s one of the best dental implant restorations if you’re missing many or all of your teeth, and seeking a more permanent and secure solution than dentures. You must understand, however, this procedure is more invasive and requires more time and investment.

Your oral surgeon will place 4-6 dental implants that serve as a foundation for a set of permanent or removable implant-supported dentures.  After the implants have fully healed, your dentist will create customized dentures that attach to the implants. This approach results in a more secure and stable fit than traditional dentures, allowing you to feel confident while eating, speaking, or laughing.

Full Arch Dental Implant Procedure

If you’re considering full-arch implants, it’s essential to understand the steps involved in the procedure.

Step 1: Consultation and Examination

Your first step in getting these dental implant restorations is to schedule a consultation with a qualified dental professional. During the consultation, your dentist will examine your mouth, take X-rays, and discuss your medical history to determine whether you’re a good candidate for full-arch implants.

Step 2: Extraction of Remaining Natural Teeth

Before the surgery, all of your remaining natural teeth must be extracted. This is typically done under local anesthesia and can be performed on the same day as the implant placement.

Step 3: Implant Placement

Once your mouth has been cleaned and numbed, a series of 4-6 implants will be placed in each arch of your mouth. This is done using a minimally invasive surgical technique, and the implants are carefully positioned to maximize stability and support.

Step 4: Placement of Temporary Dentures

After the implants are in place, your dentist or oral surgeon will attach temporary dentures. These will help protect your implants while they heal and allow you to eat and speak normally during recovery.

Step 5: Healing and Osseointegration

Being patient during the healing process is crucial, as the implants may take 3-6 months to bond with your jawbone fully. During this time, you’ll have regular check-ups with your dentist to monitor your progress and healing.

Step 6: Creation of Permanent Dentures

Once your mouth has fully healed, your dentist will take impressions of your mouth and begin creating your permanent set of removable or fixed implant dentures. This process may take several appointments to ensure a perfect fit.

Step 7: Final Attachment of Permanent Dentures

Finally, you’ll have your last appointment, and your permanent dentures will be attached to your implants, completing the procedure.

Benefits and Drawbacks of Full-Arch Dental Implants

Full-arch dental implants offer multiple benefits and advantages, especially over single-tooth, implant-supported dentures. The restoration dramatically improves the appearance of your face, plus it’s easy and comfortable to eat, talk, and even sing with the implants. Moreover, they require minimal upkeep and prevent bone loss, providing a long-lasting tooth restoration solution that enhances oral health.

However, some drawbacks are also to consider, including the reasonably high cost, significant time investment, and the possibility of infection if proper oral hygiene is not maintained.

Single-Tooth, Implant-Supported Dentures vs. Full-Arch Dental Implants: Which Is Right For You?

Choosing between the two dental implant restorations is a question of whether you need implant-supported dentures or a complete set of teeth replacements supported by implants. There are numerous factors that your dentist or oral surgeon will take into account to arrive at a suitable solution.

The Number of Missing Teeth

Single-tooth, implant-supported dentures may be a more appropriate option if you want to replace one or a few missing teeth. On the other hand, if you’re missing many or all of your teeth, full-arch dental implants may be a better fit.

Overall Health and Lifestyle

Some medical conditions or lifestyle factors, such as smoking and diabetes, may impact the success of dental implant procedures. Your oral surgeon may hesitate to recommend full-arch implants if you’re a heavy smoker or your health doesn’t support them. Additionally, if you prefer to avoid removing your tooth restoration every night, your dentist is more likely to recommend full-arch implants over dentures.

Cost

Although cost is crucial, it’s never wise to base your dental decisions solely on it. Full-arch dental implants may be more expensive than single-tooth, implant-supported dentures due to the greater number of implants required.

Your Long-Term Goals

Full-arch dental implants may be better if you’re looking for a long-term, permanent solution for missing teeth. However, if you’re looking for a less invasive option or a more affordable short-term solution, single-tooth, implant-supported dentures are highly recommended.

Conclusion

When you’re faced with restoring your missing teeth, it can be overwhelming to choose between the options available, especially single-tooth, implant-supported dentures and full-arch dental implants.

Single-tooth, implant-supported dentures may be your best option if you’re missing only one or a few teeth. These dentures provide the stability and security of dental implants while replacing only the missing teeth, resulting in a natural and comfortable fit. On the other hand, if you’re missing multiple teeth or prefer a more permanent restoration option, full-arch implants may be the best dental implant restorations for you.

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